Individual
MICHAEL CHRISTOPHER BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1175
(401) 432-1509
Mailing address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1175
(401) 432-1509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00473
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30169-5
BLUE CROSS
RI
01
—
407746
BLUE CHIP
RI
01
—
61-15754
UNITED BEHAVIORAL HEALTH
RI
05
—
MB10785
—
RI
Enumeration date
05/31/2006
Last updated
09/24/2010
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