Provider Demographics
NPI:1538050208
Name:GOTT, MORGAN RAE
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAE
Last Name:GOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MORGAN
Other - Middle Name:RAE
Other - Last Name:GOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2009 S JOHNSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-6518
Mailing Address - Country:US
Mailing Address - Phone:918-766-2539
Mailing Address - Fax:
Practice Address - Street 1:705 S VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-4439
Practice Address - Country:US
Practice Address - Phone:844-458-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst