DR. ANNIE L FORMWALT


Address: Po Box 850818, Mobile, AL 36685-0818
Phone: 2517761217

DR. ANNIE L FORMWALT (NPI# 1861696759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861696759
Entity Type Individual
Full Name DR. ANNIE L FORMWALT
Credential PSY.D.
Practice Address Po Box 850818
Mobile
AL 36685-0818
Mailing Address 7305 Cottage Hill Rd
Mobile
AL 36695-2829
Practice Telephone 2517761217
Practice Fax Number 2517761219
Mailing Telephone 2517761217
Mailing Fax Number 2517761219
Enumeration Date 2007-06-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
504 AL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS AND BLUE SHIEL 51071147 01

Office Location

Street Address PO BOX 850818
City MOBILE
State AL
Zip Code 36685-0818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558565440 Lucile T Williams Psychologist Po Box 850818, Mobile, AL 36685-0818 2007-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972944601 Bruce Lowman,md LLC General Acute Care Hospital 6801 Airport Blvd, Mobile, AL 36685 2013-07-10
1518132299 David Randolph Vial Clinical Nurse Specialist 3719 Dauphin St., Springhill Hosp. Medicalcenter-anestheia Dept, Mobile, AL 36685-1417 2008-04-24
1427496587 Fleur De Lis Operations LLC Clinic/Center 6157 Airport Blvd, Suite 852022, Mobile, AL 36685-5501 2013-06-11
1003254160 John Herron Occupational Therapist 6157 Airport Blvd, Suite 852022, Mobile, AL 36685-5501 2013-06-11

Providers in the same city

NPI Name Taxonomy Address Enumeration
1184225989 Helen Mcgill Guthrie Social Worker 1701 Government St, Mobile, AL 36604-1103 2020-11-06
1093316259 University of South Alabama Health Care Authority Internal Medicine 2503 Old Shell Rd, Mobile, AL 36607-3021 2020-11-04
1235730862 Tips Love LLC Nurse's Aide 4167 Shan Dr E, Mobile, AL 36693-4856 2020-11-02
1457951063 Courtney Hall Home Health Aide 3223 Spring Hill Ave, Mobile, AL 36607-1809 2020-11-01
1316547763 Jacquelyn Keller Massage Therapist 3050 Meadow Ln, Mobile, AL 36618-4634 2020-10-26
1821698309 Bhg Lxxii, LLC Clinic/Center 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 2020-10-26
1750980397 Ali Marino Marriage & Family Therapist 1327 Spring Hill Ave, Mobile, AL 36604-3231 2020-10-24
1467051904 Endia Vranee Bush-brooks Technician 10922 Sierra Estates Dr, Mobile, AL 36608-4049 2020-10-24
1629677596 Linda Jean Hayes Counselor 2146 Carson Court, Mobile, AL 36695 2020-10-22
1457950123 Shameka Manigault Social Worker 5566 Vanderbilt Ct, Mobile, AL 36608-3026 2020-10-22
Find all providers in MOBILE

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MOBILE
Zip Code 36685

Improve Information

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Dataset Information

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.

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