MEDICARE: QUENTIN L. SPEIGHT M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1518245273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUENTIN L. SPEIGHT M.A.

Provider Business Mailing Address
First Line	:	2200 W SUDBURY DR
Second Line	:	A-7
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-3736
Country	:	US
Telephone Number	:	302-228-3933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 W SUDBURY DR
Second Line	:	A-7
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-3736
Country	:	US
Telephone Number	:	302-228-3933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/29/2011

Similar Medicare Providers

1659785137 — MALLORY MICKUS
Practice Location Address:

2200 W SUDBURY DR , E2
BLOOMINGTON, IN
47403-3736

Practice Phone: 219-921-4028
Practice Fax:

1366395519 — JENNIFER JEANNE TERNES RN
Practice Location Address:

9206 2ND AVE S
BLOOMINGTON, MN
55420-3736

Practice Phone: 763-477-1995
Practice Fax:

1437026325 — CECILIA STEARNS
Practice Location Address:

1923 S LIBERTY DR
BLOOMINGTON, IN
47403-5146

Practice Phone: 812-330-4460
Practice Fax: 812-330-4461

1851242309 — MELISSA NOURI
Practice Location Address:

443 S LANDMARK AVE
BLOOMINGTON, IN
47403-5004

Practice Phone: 930-333-2312
Practice Fax:

1720515463 — AHMED IBRAHIM MD
Practice Location Address:

2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215

Practice Phone: 812-353-3277
Practice Fax:

1568314706 — BENJAMIN WHITE LMHC
Practice Location Address:

645 S ROGERS ST
BLOOMINGTON, IN
47403-2353

Practice Phone: 812-339-1691
Practice Fax:

Directions to “ QUENTIN L. SPEIGHT M.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.