| David Formwalt, Psy.d., Llc | |
|
7305 Cottage Hill Rd Mobile AL 36695-2829 | |
| (251) 776-1217 | |
| (251) 776-1219 |
| Full Name | David Formwalt, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7305 Cottage Hill Rd, Mobile, Alabama |
| Authorized Official Name and Position | David J Formwalt (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2517761217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Formwalt, Psy.d., Llc Po Box 91276 Mobile AL 36691-1276 Ph: (251) 776-1217 | David Formwalt, Psy.d., Llc 7305 Cottage Hill Rd Mobile AL 36695-2829 Ph: (251) 776-1217 |
| NPI Number | 1316113970 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Medicare PECOS PAC ID | 1456409994 |
|---|---|
| Medicare Enrollment ID | O20090511000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1104 (Alabama) | Primary |
| Provider Name | David Formwalt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164591541 PECOS PAC ID: 9739237272 Enrollment ID: I20090511000333 |
Newlife Counseling Centers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Grelot Rd, Suite D, Mobile, AL 36609 Phone: 251-343-9411 Fax: 251-343-9412 | |
Aspirations Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Hillcrest Rd Ste 2g, Mobile, AL 36695 Phone: 251-509-5126 | |
Living Authentically Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Bel Air Blvd Ste 304, Mobile, AL 36606 Phone: 251-289-1184 | |
Mke Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Vendome Dr W, Mobile, AL 36609 Phone: 251-459-4201 | |
Journey Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Hillcrest Rd Ste 2g, Mobile, AL 36695 Phone: 251-751-0133 | |
Morgan Bradwell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 100, Mobile, AL 36608 Phone: 334-294-8437 | |
Formwalt And Williams Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7305 Cottage Hill Road, Mobile, AL 36695 Phone: 251-776-1217 Fax: 251-776-1219 |