MRS. SHANNA WIDEMAN, MA, AADC

Psychologist - Addiction (Substance Use Disorder)

Active Individual

NPI: 1740424506

Practice Address

397 MID ATLANTIC PKWY
SUITE 3
Martinsburg, WV 25404

Specialties

Specialty	Code	Primary	License
Counselor - Addiction (Substance Use Disorder)	101YA0400X	No	-
Counselor - Mental Health	101YM0800X	No	-
Psychologist - Addiction (Substance Use Disorder)	103TA0400X	Yes	-
Psychologist - Clinical Child & Adolescent	103TC2200X	No	-
Psychologist - Cognitive & Behavioral	103TB0200X	No	-
Psychologist - Psychoanalysis	103TP0814X	No	-
Psychologist - Rehabilitation	103TR0400X	No	-

Frequently Asked Questions

NPI 1740424506 is the National Provider Identifier for MRS. SHANNA WIDEMAN, MA, AADC, a Psychologist - Addiction (Substance Use Disorder) provider located in Martinsburg, WV. This NPI was enumerated on April 23, 2009.

MRS. SHANNA WIDEMAN, MA, AADC practices at 397 MID ATLANTIC PKWY, SUITE 3, Martinsburg, WV 25404.

Quick Facts

NPI: 1740424506
Type: Individual
Enumerated: Apr 23, 2009
Last Updated: Oct 23, 2015

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