Sandra Sue Smith Hanen in Minneapolis - Family

Sandra Sue Smith Hanen - NPI 1750480679

Sandra Sue Smith Hanen is a Family in Minneapolis, Minnesota. Sandra Sue Smith Hanen practices all healthcare services and medical treatments related to Family. 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 Family
Taxonomy 103Tf0000X
Licence No LP2754
Definition:
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100479 MN UCARE
6180090 MN MEDICA
064925M MN BCBS
432747100 MN --

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FAQs about Sandra Sue Smith Hanen

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 Family, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0000X.

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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