Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Formwalt, PSYD

Individual provider Clinical Psychologist · NPI 1164591541

David Formwalt, PSYD is a Clinical Psychologist in Mobile, Alabama. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
26
Licensed in
AL
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7305 Cottage Hill Rd
Mobile, AL 36695
Phone: (251) 776-1217
Fax: (251) 776-1219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1104 (AL)

Record details

NPI number1164591541
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 9, 2007
Mailing addressPob 91276, David Formwalt Psy D Llc, Mobile, AL 36691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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