| NPI | 1962698043 |
|---|---|
| Former Name | LIBERTY ANN TRISSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OT011338) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H0104441) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102209531) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 06213) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-02811) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.012447) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2026-05-08 |