Wideman, Shanna

Wideman, Shanna is an sole proprietor health care provider with primary practice located at 397 Mid Atlantic Pkwy Suite 3, Martinsburg WV 25404-7468. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wideman, Shanna can be contacted via phone (304) 260-6360.

Contact Information

Primary practice address
397 Mid Atlantic Pkwy Suite 3 Martinsburg WV 25404-7468
Phone: (304) 260-6360
Fax: (304) 260-6459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1740424506
LBN Legal business name Wideman, Shanna
Credentials MA, AADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Oct 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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