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Contact Information

SHANNA WIDEMAN, MA, AADC
397 MID ATLANTIC PKWY
SUITE 3
MARTINSBURG, WV25404-7468
 Phone: 304-260-6360
 Fax: 304-260-6459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANNA WIDEMAN · (Female)

NPI Number 1740424506
Status Active
Credentials MA, AADC
Entity Individual
Enumeration date 04/23/2009
Last updated 10/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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