Provider Demographics
NPI:1508014317
Name:WINEGARDEN, BABBI J (PHD)
Entity Type:Individual
Prefix:DR
First Name:BABBI
Middle Name:J
Last Name:WINEGARDEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3675 RUFFIN RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1861
Mailing Address - Country:US
Mailing Address - Phone:858-335-8657
Mailing Address - Fax:858-534-0595
Practice Address - Street 1:3675 RUFFIN RD
Practice Address - Street 2:SUITE 315
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1861
Practice Address - Country:US
Practice Address - Phone:858-335-8657
Practice Address - Fax:858-534-0595
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 14895103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical