Dr Stephanie Leanne Mcmanimen, PHD is a
Clinical Neuropsychologist based in Minneapolis, Minnesota. Dr Stephanie Leanne Mcmanimen is licensed to practice in * (Not Available) (license number ) and her current practice location is
909 Fulton St Se, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 624-1412.
NPI number for Dr Stephanie Leanne Mcmanimen is 1083504799 and her current mailing address is 339 Peat Moss Dr, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083504799.
Healthcare Provider's Profile
Full Name | Dr Stephanie Leanne Mcmanimen |
---|
Gender | Female |
---|
Speciality | Clinical Neuropsychologist |
---|
Location | 909 Fulton St Se, Minneapolis, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083504799
- Provider Enumeration Date: 07/04/2025
- Last Update Date: 07/10/2025
Medical Identifiers
Medical identifiers for Dr Stephanie Leanne Mcmanimen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083504799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie Leanne Mcmanimen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Stephanie Leanne Mcmanimen, PHD 339 Peat Moss Dr, Columbus, OH 43235-5746 Ph: (219) 308-4661 | Dr Stephanie Leanne Mcmanimen, PHD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 624-1412 |
Reviews and Comments