| Name | Value |
|---|---|
| PROVIDER TYPE | Behavioral Health & Social Service Providers |
| CLASSIFICATION | Psychologist |
| DEFINITION | A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
| AREA OF SPECIALIZATION | Cognitive & Behavioral |
| STATUS | Active |
| VA CODE | V010401 |
| X12 CODE | 103TB0200X |
| SPECIALTY CODE | 62 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252330 |
| EFFECTIVE DATE/TIME |
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