DAVID FORMWALT, PSY.D., LLC
Psychologist at Cottage Hill Rd, Mobile, AL

License number
Alabama 1104
Category
Psychologist
Type
Psychologist
Owner
Name: DR. DAVID J FORMWALT PSY.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (251) 776-1217
Address
Address
7305 Cottage Hill Rd, Mobile, AL 36695
National Provider ID: 1316113970
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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David Formwalt, Psy.D., LLC

Mobile, AL

Industry:
Specialty Outpatient Clinic
Addresses:
7305 Cottage Hl Rd, Mobile, AL 36695
PO Box 91276, Mobile, AL 36691
Member, Psy D, Psychologists:
Joy Reed (Secretary),Joyelle Reed (Office Manager),David Formwalt (Member, Psy D, Psychologist)

David Formwalt, Psy.D., LLC

Mobile, AL

Industry:
ANY LAWFUL ACTIVITY
Registration:
Jul 15, 2004
State ID:
453-371
Business type:
Domestic Limited Liability Company
Formation place:
Mobile County
Member:
David Formwalt (member)

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