David Formwalt, Psy.D., Llc in Mobile - Psychologist

David Formwalt, Psy.D., Llc - NPI 1316113970

David Formwalt, Psy.D., Llc is a Psychologist in Mobile, Alabama. David Formwalt, Psy.D., Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Formwalt, Psy.D., Llc is 1316113970. The last update date is 2008-05-05.

David Formwalt, Psy.D., Llc's current location address is Po Box 91276, Mobile, Alabama. You can contact this provider via phone number 2517761217. The mailing address for David Formwalt, Psy.D., Llc is Po Box 91276, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization David Formwalt, Psy.D., Llc
Address Po Box 91276, Mobile, Alabama
Phone Number 2517761217
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL P
Authorized Official Name Formwalt J David
Credentials PSY.D.
Telephone Number 2517761217

NPI Number Detail

NPI Number 1316113970
Provider Enumeration Date 2008-05-05
Last Updated Date 2008-05-05

Provider Mailing Address Detail

Address Po Box 91276
City Mobile
State Alabama (AL)
Post Code 366911276
Phone Number 2517761217
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1104
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about David Formwalt, Psy.D., Llc

What is the unique provider identifier assigned to David Formwalt, Psy.D., Llc?

The David Formwalt, Psy.D., Llc has been issued the NPI (National Provider Identifier) 1316113970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where David Formwalt, Psy.D., Llc's facilities are situated?

The facilities of David Formwalt, Psy.D., Llc are physically located at the following address: Po Box 91276, Mobile, AL, 366911276.

What is David Formwalt, Psy.D., Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David Formwalt, Psy.D., Llc is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the David Formwalt, Psy.D., Llc receive the assignment of its 1316113970 from the Centers for Medicare & Medicaid Services?

The David Formwalt, Psy.D., Llc was issued its 1316113970 by the Centers for Medicare & Medicaid Services on 2008-05-05.

When was the information pertaining to David Formwalt, Psy.D., Llc most recently updated or revised?

The details related to David Formwalt, Psy.D., Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-05.

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