Individual
ROSANNA RITA LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
502 N BLAKELY ST, DUNMORE, PA 18512-1943
(570) 342-8434
(570) 342-7446
Mailing address
1251 WYOMING AVE, EXETER, PA 18643-1434
(570) 342-8434
(570) 299-2521
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007138L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS007138L
PA
103TC0700X
Clinical Psychologist
Primary
PS007138L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS007138L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101297787 0001
—
PA
Enumeration date
07/21/2006
Last updated
05/22/2023
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