Behavioral Health & Social Service Providers (522)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Behavioral Health & Social Service Providers
CLASSIFICATION Psychologist
AREA OF SPECIALIZATION Women
STATUS Inactive
DATE INACTIVATED 2009-04-22 00:00:00
VA CODE V010419
X12 CODE 103TW0100X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252384
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:53
    STATUS:   INACTIVE