Organization
GROWTH PROCESS INTEGRATION, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANGELO BORDERS PSY.D., ABPP, FAACP (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(520) 826-0299
Entity
Organization
Contact information
Practice address
3300 N MESQUITE RD, COCHISE, AZ 85606-8729
(520) 826-0299
(520) 826-0030
Mailing address
3300 N MESQUITE RD, COCHISE, AZ 85606-8729
(520) 826-0299
(520) 826-0030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3861
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3861
AZ
103TA0700X
Adult Development & Aging Psychologist
3861
AZ
103TC0700X
Clinical Psychologist
Primary
3861
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
3861
AZ
103TE1100X
Exercise & Sports Psychologist
3861
AZ
103TF0000X
Family Psychologist
3861
AZ
103TF0200X
Forensic Psychologist
3861
AZ
103TH0004X
Health Psychologist
3861
AZ
103TH0100X
Health Service Psychologist
3861
AZ
103TP0814X
Psychoanalysis Psychologist
3861
AZ
103TP2701X
Group Psychotherapy Psychologist
3861
AZ
103TR0400X
Rehabilitation Psychologist
3861
AZ
106H00000X
Marriage & Family Therapist
3861
AZ
146D00000X
Personal Emergency Response Attendant
3861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002999
LICENSE
VA
01
—
11233203
CAQH
—
01
—
1275696924
INDIVIDUAL NPI
—
01
—
3861
LICENSE
AZ
Enumeration date
12/31/2008
Last updated
12/31/2008
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