Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNA WIDEMAN, MA, AADC
Active Sole ProprietorMRS. SHANNA WIDEMAN, MA, AADC is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in MARTINSBURG, West Virginia. NPI 1740424506 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · MARTINSBURG, WV
Registration Details
- NPI Number
- 1740424506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2009 (17.165780184118 yrs)
- Last Updated
- Oct 23, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
397 MID ATLANTIC PKWYSUITE 3MARTINSBURG, WV, 254047468Browse WV providers · Browse ZIP 25404
- Phone
- 3042606360
- Fax
- 3042606459
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.