Individual
DR. LEANNA ELAINE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1321 RESEARCH PARK DR, SUITE 200, BEAVERCREEK, OH 45432-2851
(937) 431-3870
(937) 431-3871
Mailing address
1321 RESEARCH PARK DR, SUITE 200, BEAVERCREEK, OH 45432-2851
(937) 431-3870
(937) 431-3871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261421
—
OH
01
—
311588267
TRICARE
OH
Enumeration date
07/31/2005
Last updated
02/10/2016
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