Provider Demographics
NPI:1568403301
Name:MORGAN, CATHERINE N (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:N
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 GLENEAGLES DRIVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1800
Mailing Address - Country:US
Mailing Address - Phone:405-753-9009
Mailing Address - Fax:405-753-9079
Practice Address - Street 1:11212 N MAY AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6336
Practice Address - Country:US
Practice Address - Phone:405-753-9009
Practice Address - Fax:405-753-9079
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK530103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100842210AMedicaid
OKOKA102765Medicare PIN
OKR11886Medicare UPIN