| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Psychiatry & Neurology |
| DEFINITION | A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| AREA OF SPECIALIZATION | Neurodevelopmental Disabilities |
| STATUS | Active |
| VA CODE | V182907 |
| X12 CODE | 2084P0005X |
| SPECIALTY CODE | 86 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252009 |
| EFFECTIVE DATE/TIME |
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