Healthcare Provider Details

I. General information

NPI: 1346479227
Provider Name (Legal Business Name): DEBRA L WINEGARDEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 N COURT ST STE D
VISALIA CA
93291-4913
US

IV. Provider business mailing address

180 W BULLARD AVE STE 102
CLOVIS CA
93612-0998
US

V. Phone/Fax

Practice location:
  • Phone: 559-203-3775
  • Fax: 559-326-0607
Mailing address:
  • Phone: 559-203-3775
  • Fax: 559-326-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number25442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: