National Provider Identifier Database

SANDRA S SMITH HANEN, EDD – NPI #1750480679
Psychologist

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


Contact Information

SANDRA S SMITH HANEN, EDD
4323 E LAKE ST
MINNEAPOLIS, MN55406-2307
Phone: 612-722-1003
Fax: 612-721-6336
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X
Adult Development & Aging 103TA0700X
Cognitive & Behavioral 103TB0200X
Counseling 103TC1900X
Family 103TF0000X
Forensic 103TF0200X

* Indicates primary specialty

NPI Profile & details for SANDRA S SMITH HANEN

NPI Number 1750480679
Credentials EDD
Entity Individual
Enumeration date 09/21/2006
Last updated 03/12/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • MN License #: LP2754
  • MN Medicaid: 432747100
  • MN Other: 064925M BCBS
  • MN Other: 6180090 MEDICA
  • MN Other: 100479 UCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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