Most Relevant Information
Provider Data
| NPI Number: | 1003816091 |
| Provider Name: | LEANNA ELAINE MANUEL PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 5340 |
Most Important Dates
| Enumeration Date: | 07/31/2005 |
| Last Updated: | 02/10/2016 |
Provider Practice Location
1321 RESEARCH PARK DR
SUITE 200
BEAVERCREEK
OH
454322851
Practice Location Phone/Fax
| Phone: | 9374313870 |
| Fax: | 9374313871 |
Provider Mailing Location
1321 RESEARCH PARK DR
SUITE 200
BEAVERCREEK
OH
454322851
Provider Mailing Phone/Fax
| Phone: | 9374313870 |
| Fax: | 9374313871 |