Manuel, Leanna Elaine

Manuel, Leanna Elaine is an individual health care provider with primary practice located at 1321 Research Park Dr Suite 200, Beavercreek OH 45432-2851. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Manuel, Leanna Elaine can be contacted via phone (937) 431-3870.

Contact Information

Primary practice address
1321 Research Park Dr Suite 200 Beavercreek OH 45432-2851
Phone: (937) 431-3870
Fax: (937) 431-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5340 Ohio

Profile Details

NPI number 1003816091
LBN Legal business name Manuel, Leanna Elaine
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2005
Last updated Feb 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003816091 NPPES
Ohio Other 311588267 TRICARE
Ohio MEDICAID 2261421 TRICARE

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