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