Individual
DR. STEPHANIE LEANNE MCMANIMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 624-1412
Mailing address
339 PEAT MOSS DR, COLUMBUS, OH 43235-5746
(219) 308-4661
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
07/04/2025
Last updated
07/10/2025
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