Formwalt, David

Formwalt, David is an individual health care provider with primary practice located at 7305 Cottage Hill Road , Mobile AL 36695. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Formwalt, David can be contacted via phone (251) 776-1217.

Contact Information

Primary practice address
7305 Cottage Hill Road Mobile AL 36695
Phone: (251) 776-1217
Fax: (251) 776-1219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1104 Alabama

Profile Details

NPI number 1164591541
LBN Legal business name Formwalt, David
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers