NPI Profile for SHANNA WIDEMAN in MARTINSBURG, WV.
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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 |
| 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 |
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SHANNA WIDEMAN
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