David Formwalt, PSY D

NPI #1164591541 in Mobile, Alabama

Provider Information

NPI Number
1164591541
Entity Type
Individual
Name
David Formwalt, PSY D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSY D
Enumeration Date
Nov 7, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
7305 COTTAGE HILL ROAD
City
Mobile
State
Alabama
ZIP Code
36695
Phone
(251) 776-1217

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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