Provider Demographics
NPI:1568908069
Name:SALGE, MORRIS (MA)
Entity Type:Individual
Prefix:
First Name:MORRIS
Middle Name:
Last Name:SALGE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401511 W 2400 RD
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-0414
Mailing Address - Country:US
Mailing Address - Phone:918-332-8382
Mailing Address - Fax:
Practice Address - Street 1:4017 PRICE RD
Practice Address - Street 2:STE 1B
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7248
Practice Address - Country:US
Practice Address - Phone:918-332-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional