Behavioral Health & Social Service Providers (517)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Behavioral Health & Social Service Providers
CLASSIFICATION Psychologist
AREA OF SPECIALIZATION Men & Masculinity
STATUS Inactive
DATE INACTIVATED 2009-04-22 00:00:00
VA CODE V010414
X12 CODE 103TM1700X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252360
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:53
    STATUS:   INACTIVE