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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 Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA S SMITH HANEN · (Female)

NPI # 1750480679
Status Active
Credentials EDD
Entity Individual
Enumeration date 09/21/2006
Last updated 03/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP2754
  • MN Medicaid 432747100
  • MN Other 064925M BCBS
  • MN Other 6180090 MEDICA
  • MN Other 100479 UCARE
Hospital affiliation(s) Not Available
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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