David Formwalt is a Clinical in Mobile, Alabama. David Formwalt practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Formwalt is 1164591541. The last update date is 2007-07-09.
David Formwalt's current location address is Pob 91276, Mobile, Alabama. You can contact this provider via phone number 2517761217 and fax number 2517761219. The mailing address for David Formwalt is Pob 91276, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Formwalt |
|---|---|
| Address | Pob 91276, Mobile, Alabama |
| Phone Number | 2517761217 |
| Fax Number | 2517761219 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1164591541 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Pob 91276 |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 36691 |
| Phone Number | 2517761217 |
| Fax Number | 2517761219 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1104 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to David Formwalt by the Centers for Medicare & Medicaid Services?
The David Formwalt has been issued the NPI (National Provider Identifier) 1164591541 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where David Formwalt is physically located?
The David Formwalt is physically situated at the following address: Pob 91276, Mobile, AL, 36691.
What is David Formwalt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Formwalt is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1164591541 assigned to David Formwalt?
The David Formwalt was issued its 1164591541 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David Formwalt most recently updated or revised?
The information pertaining to David Formwalt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.