Mrs. Shanna Wideman
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Psychoanalysis Rehabilitation Psychologist and 3 more
397 Mid Atlantic Pkwy Suite 3
Martinsburg
, West Virginia 25404-7468
Mrs. Shanna Wideman
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Psychoanalysis Rehabilitation Psychologist and 3 more
397 Mid Atlantic Pkwy Suite 3
Martinsburg
, West Virginia 25404-7468
(304) 260-6360
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
- Psychoanalysis
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Shanna Wideman
- 397 Mid Atlantic Pkwy Ste 3
- Martinsburg, WV
- Zip : 25404-7468
- Phone : (304) 260-6360
Second Address
- Mrs. Shanna Wideman
- 397 Mid Atlantic Pkwy Suite 3
- Martinsburg, WV
- Zip : 25404-7468
- Fax : (304) 260-6459
- Phone : (304) 260-6360
Reviews
FAQs
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Is Mrs. Shanna Wideman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 101YM0800X | Mental Health Counselor | ||
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
| N | 103TP0814X | Psychoanalysis | ||
| N | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1740424506 |
|---|---|
| Provider Name | Mrs. Shanna Wideman |
| First Address | Martinsburg, WV 25404-7468 |
| Second Address | Martinsburg, WV 25404-7468 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2009 |
| Last Update Date | 23/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.