IndividualActive
Shanna Wideman, MA, AADC
NPI 1740424506 · Addiction (Substance Use Disorder) Psychologist · Martinsburg, WV
Provider details
- NPI number
- 1740424506
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, AADC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Psychoanalysis Psychologist103TP0814X
Behavioral Health & Social Service Providers
Practice location
397 Mid Atlantic Pkwy
Suite 3
Martinsburg, WV 25404-7468
Phone: (304) 260-6360
Fax: (304) 260-6459
Approximate (ZIP-level) locationGet directions
Mailing address
397 Mid Atlantic Pkwy Ste 3
Martinsburg, WV 25404-7468
Registry dates
- Enumerated
- 2009-04-23
- Last updated
- 2015-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.