Search › West Virginia › 103TA0400X
Shanna Wideman, MA, AADC
NPI 1740424506 · on the registry since 2009 · sole proprietor
Practice
- Address
- 397 Mid Atlantic Pkwy
Suite 3
Martinsburg, WV 25404 - Phone
- (304) 260-6360
- Fax
- (304) 260-6459
- Clinicians at this address
- 96
Registry record
- Primary taxonomy
- 103TA0400X
103TA0400X
- Also registered as
- 101YA0400X
101YM0800X
103TC2200X
103TB0200X
103TP0814X
103TR0400X - Sex
- Female
- Record last updated
- 2015-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia