Liberty, Rosanna Rita

Liberty, Rosanna Rita is an individual health care provider with primary practice located at 502 N Blakely St , Dunmore PA 18512-1943. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Liberty, Rosanna Rita can be contacted via phone (570) 342-8434.

Contact Information

Primary practice address
502 N Blakely St Dunmore PA 18512-1943
Phone: (570) 342-8434
Fax: (570) 342-7446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS007138L Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS007138L Pennsylvania
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PS007138L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS007138L Pennsylvania

Profile Details

NPI number 1699796466
LBN Legal business name Liberty, Rosanna Rita
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699796466 NPPES
Pennsylvania MEDICAID 101297787 0001

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