| Debra Winegarden, Ph.d. | |
|
106 Pollasky Ave Ste D Clovis CA 93612-1159 | |
| (559) 203-3775 | |
| (559) 326-0607 |
| Full Name | Debra Winegarden, Ph.d. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 106 Pollasky Ave Ste D, Clovis, California |
| Authorized Official Name and Position | Leticia Cantu (OFFICE MANAGER) |
| Authorized Official Contact | 5597017985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Winegarden, Ph.d. 106 Pollasky Ave Ste D Clovis CA 93612-1159 Ph: (559) 203-3775 | Debra Winegarden, Ph.d. 106 Pollasky Ave Ste D Clovis CA 93612-1159 Ph: (559) 203-3775 |
| NPI Number | 1467993493 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 3678919107 |
|---|---|
| Medicare Enrollment ID | O20240328000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467993493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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