Behavioral Health and Social Service (359) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Behavioral Health and Social Service
CLASSIFICATION
Psychoanalyst
STATUS
Inactive
DATE INACTIVATED
2005-11-15 00:00:00
VA CODE
V010300
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252423
EFFECTIVE DATE/TIME
2018-04-02 15:35:56
STATUS: INACTIVE