Dr. Sandra Sue Smith Hanen
EDD | Psychologist | 49+ years Exp
4323 E Lake St, Minneapolis
Minnesota, 55406-2307
612-722-1003 612-721-6336
Maps & DirectionsDr. Sandra Sue Smith Hanen is a Minneapolis, Minnesota based psychologist with 49 years of experience in General Psychology. She completed her graduation in 1976. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Sandra Sue Smith Hanen is LP2754 for General Psychology in Minnesota. Her current practice location is 4323 E Lake St, Minneapolis. Patients can reach her at 612-722-1003 or can fax her at 612-721-6336. Dr. Sandra Sue Smith Hanen is EDD in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1750480679.
Dr. Sandra Sue Smith Hanen is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Sandra Sue Smith Hanen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Sandra Sue Smith Hanen |
| Specialization: | General Psychology |
| Gender: | Female |
| Credentials: | EDD |
| Experience: | 49+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1976 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4323 E Lake St, Minneapolis, Minnesota, 55406-2307 |
| Phone: | 612-722-1003 |
| Fax: | 612-721-6336 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8820037229 |
| Enrollment ID: | I20050426000501 |
| NPI Number: | 1750480679 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 12 Mar, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sandra Sue Smith Hanen are as mentioned below.
| License Number | Specialization | State | Status | |
| LP2754 | General Psychology | Minnesota | Primary | |
| LP2754 | Forensic Psychology | Minnesota | Secondary | |
| LP2754 | Cognitive & Behavioral Psychology | Minnesota | Secondary | |
| LP2754 | Counseling Psychology | Minnesota | Secondary | |
| LP2754 | Adult Development & Aging Psychology | Minnesota | Secondary | |
| LP2754 | Family Psychology | Minnesota | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Sandra Sue Smith Hanen is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| River Lake Clinic Llc (3173749322) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sandra Sue Smith Hanen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100479 | Other | Minnesota | UCARE |
| 6180090 | Other | Minnesota | MEDICA |
| 064925M | Other | Minnesota | BCBS |
| 432747100 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Sandra Sue Smith Hanen 4323 E Lake St, Minneapolis, Minnesota |
| Zip: | 55406-2307 |
| Phone Number: | 612-722-1003 |
| Fax Number: | 612-721-6336 |
Patients can reach Dr. Sandra Sue Smith Hanen at
4323 E Lake St, Minneapolis, Minnesota or can
call to book an appointment on 612-722-1003.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.