Smith Hanen, Sandra Sue
Smith Hanen, Sandra Sue is an individual health care provider with primary practice located at 4323 E Lake St , Minneapolis MN 55406-2307. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Smith Hanen, Sandra Sue can be contacted via phone (612) 722-1003.Contact Information
Primary practice address
4323 E Lake St
Minneapolis MN 55406-2307
Phone: (612) 722-1003
Fax: (612) 721-6336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2754 | Minnesota |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | LP2754 | Minnesota |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | LP2754 | Minnesota |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP2754 | Minnesota |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | LP2754 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | LP2754 | Minnesota |
Profile Details
| NPI number | 1750480679 |
|---|---|
| LBN Legal business name | Smith Hanen, Sandra Sue |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Mar 12th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750480679 | NPPES |
| Minnesota | Other | 100479 | UCARE |
| Minnesota | Other | 6180090 | UCARE |
| Minnesota | Other | 064925M | UCARE |
| Minnesota | MEDICAID | 432747100 | UCARE |
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