Individual provider · Type 1 NPI
Shanna Wideman, MA, AADC
Addiction (Substance Use Disorder) Psychologist · Martinsburg, WV
Practice location
397 Mid Atlantic Pkwy, Suite 3
Martinsburg, WV 25404-7468
Fax (304) 260-6459
Mailing address
397 Mid Atlantic Pkwy Ste 3
Martinsburg, WV 25404-7468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Psychoanalysis Psychologist | 103TP0814X | None listed |
| Rehabilitation Psychologist | 103TR0400X | None listed |
Addiction (Substance Use Disorder) Psychologist: 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 behav…
Another provider at this address
About NPI 1740424506
Shanna Wideman, MA, AADC's National Provider Identifier is 1740424506, issued on Apr 23, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Martinsburg, WV. The record was last updated on Oct 23, 2015.