DAVID FORMWALT (NPI# 1164591541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164591541 |
| Entity Type | Individual |
| Full Name | DAVID FORMWALT |
| Credential | PSY D |
| Practice Address |
7305 Cottage Hill Road Mobile AL 36695 |
| Mailing Address |
Pob 91276 David Formwalt Psy D LLC Mobile AL 36691 |
| Practice Telephone | 2517761217 |
| Practice Fax Number | 2517761219 |
| Mailing Telephone | 2517761217 |
| Mailing Fax Number | 2517761219 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1104 | AL | Behavioral Health & Social Service Providers |
| Street Address |
7305 COTTAGE HILL ROAD |
| City | MOBILE |
| State | AL |
| Zip Code | 36695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043304835 | Formwalt and Williams Inc | Psychologist | 7305 Cottage Hill Road, Mobile, AL 36695 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1669887063 | Phillip Nelson Smith | Psychologist | University of South Alabama, 75 S. University Blvd., Ucom1000, Mobile, AL 36688-0001 | 2014-06-24 |
| 1346558285 | David Neesmith | Psychologist | 3929 Airport Blvd., Ste 2-520, Mobile, AL 36609 | 2010-09-14 |
| 1992965313 | Mobile Psychological, LLC | Psychologist | 2411 Old Shell Rd, Mobile, AL 36607-3019 | 2008-06-10 |
| 1487813804 | Danielle Andria Beech | Psychologist | 1110 Montlimar Dr Ste 500, Mobile, AL 36609-1794 | 2008-06-02 |
| 1558565440 | Lucile T Williams | Psychologist | Po Box 850818, Mobile, AL 36685-0818 | 2007-06-13 |
| 1235274002 | Jennifer Langhinrichsen-rohling | Psychologist | 307 University Blvd North, University Commons, Ste 2000, Mobile, AL 36688-0001 | 2007-02-20 |
| 1992842629 | Celina Rebecca Guisinger | Psychologist | 4332 Boulevard Park S Ste A, Mobile, AL 36609-3423 | 2007-01-31 |
| 1215081914 | Laura Goulden | Psychologist | 2450 Old Shell Rd # A, Mobile, AL 36607-3020 | 2007-01-22 |
| 1184775736 | Jason (jake) Epker | Psychologist | 2450a Old Shell Rd, Mobile, AL 36607-3020 | 2007-01-12 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.