Here are the twenty states with the lowest numbers of active psychiatrists:
Wyoming: 54
Montana: 96
Alaska: 104
Idaho: 119
South Dakota: 135
North Dakota: 152
Delaware: 174
Vermont: 204
West Virginia: 251
New Hampshire: 277
Mississippi: 290
Nebraska: 293
Rhode Island: 300
Nevada: 324
Maine: 326
Utah: 340
Hawaii: 357
Arkansas: 380
New Mexico: 381
Iowa: 407
