Individual
DR. ANNIE L FORMWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
PO BOX 850818, MOBILE, AL 36685-0818
(251) 776-1217
(251) 776-1219
Mailing address
7305 COTTAGE HILL RD, MOBILE, AL 36695-2829
(251) 776-1217
(251) 776-1219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
504
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51071147
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
06/13/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us