Individual
DR. MICHAEL ANGELO BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., ABPP, FAACP
Contact information
Practice address
3300 N MESQUITE RD, COCHISE, AZ 85606-8729
(520) 826-0299
(520) 826-0300
Mailing address
3300 N MESQUITE RD, COCHISE, AZ 85606-8729
(520) 826-0299
(520) 826-0300
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3861
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0810002999
VA
103TA0700X
Adult Development & Aging Psychologist
0810002999
VA
103TC0700X
Clinical Psychologist
Primary
0810002999
VA
103TE1100X
Exercise & Sports Psychologist
3861
AZ
103TF0000X
Family Psychologist
0810002999
VA
103TF0200X
Forensic Psychologist
0810002999
VA
103TH0004X
Health Psychologist
3861
AZ
103TH0100X
Health Service Psychologist
0810002999
VA
103TH0100X
Health Service Psychologist
3861
AZ
103TP2701X
Group Psychotherapy Psychologist
0810002999
VA
103TR0400X
Rehabilitation Psychologist
0810002999
VA
103TR0400X
Rehabilitation Psychologist
3861
AZ
171000000X
Military Health Care Provider
3861
AZ
171W00000X
Contractor
3861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002999
CLINICAL PSYCHOLOGY
VA
01
—
3861
CLINICAL PSYCHOLOGY
AZ
01
—
44572
NATIONAL REGISTER OF HEAL
—
01
—
5302
AMERICAN BOARD OF PROFESS
—
01
—
8264
AMERICAN COLLEGE OF FOREN
—
Enumeration date
12/17/2006
Last updated
12/31/2008
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