Behavioral Health and Social Service (361) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Behavioral Health and Social Service
CLASSIFICATION	Psychoanalyst
AREA OF SPECIALIZATION	Associate
STATUS	Inactive
DATE INACTIVATED	2005-11-15 00:00:00
VA CODE	V010302
INDIVIDUAL/NON	INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5252429
EFFECTIVE DATE/TIME	2018-04-02 15:35:57 STATUS: INACTIVE