Sandra Sue Smith Hanen in Minneapolis - Adult Development & Aging
Sandra Sue Smith Hanen - NPI 1750480679
Sandra Sue Smith Hanen is a Adult Development & Aging in Minneapolis, Minnesota. Sandra Sue Smith Hanen practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Sandra Sue Smith Hanen is 1750480679. The last update date is 2014-03-12.
Sandra Sue Smith Hanen's current location address is 4323 E Lake St, Minneapolis, Minnesota. You can contact this provider via phone number 6127221003 and fax number 6127216336. The mailing address for Sandra Sue Smith Hanen is 4323 E Lake St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Sue Smith Hanen |
|---|---|
| Address | 4323 E Lake St, Minneapolis, Minnesota |
| Phone Number | 6127221003 |
| Fax Number | 6127216336 |
| Sole Proprietor | N |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1750480679 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2014-03-12 |
Provider Mailing Address Detail
| Address | 4323 E Lake St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554062307 |
| Phone Number | 6127221003 |
| Fax Number | 6127216336 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | LP2754 |
|
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100479 | MN | UCARE | |
| 6180090 | MN | MEDICA | |
| 064925M | MN | BCBS | |
| 432747100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sandra Sue Smith Hanen by the Centers for Medicare & Medicaid Services?
The Sandra Sue Smith Hanen has been issued the NPI (National Provider Identifier) 1750480679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Sandra Sue Smith Hanen is located?
The Sandra Sue Smith Hanen is situated at the following address: 4323 E Lake St, Minneapolis, MN, 554062307.
What is Sandra Sue Smith Hanen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sandra Sue Smith Hanen's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
On what date was the 1750480679 assigned to Sandra Sue Smith Hanen?
The Sandra Sue Smith Hanen was issued its 1750480679 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sandra Sue Smith Hanen most recently updated or revised?
The details related to Sandra Sue Smith Hanen, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-12.
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