Pretty sure I live in a pretty small town, barely big enough to call itself a city and the local psychology/psychiatry people haven't even dealt with Trans individuals before (and don't have much knowledge in the field - I was educating them on it more often than not). The closest to me that I know of is in Rehoboth Beach, Delaware. I'd love to be able to visit, but driving all that way will put a huge strain on what little money I have.