| Doctor Name: | JEROME M QUATMAN |
| NPI Number: | 1124324322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 34006856A |
| Business Practice Address: | 836 N Detroit St Lagrange, IN - 467611112 |
| Business Phone Number: | 2604993019 |
| Business Fax Number: | 2604993022 |
| Mailing Address: | 2621 E Jefferson St, Attn: Anne Lawson WARSAW |
| State: | IN |
| Postal Code: | 465803880 |
| Phone Number: | 5742690573 |
| Fax Number: | 5742690573 |
| NPI Enumeration Date: | 02/04/2011 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34006856A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |