Leisa D. Ludlam, Ph.d.,p.a.

NPI #1295271443 in Pace, Florida

Provider Information

NPI Number: 1295271443
Entity Type: Organization
Organization Name: Leisa D. Ludlam, Ph.d.,p.a.
Primary Specialty: Psychologist
Enumeration Date: Jan 12, 2017
Last Updated: Jan 12, 2017

Practice Location

Address: 4509 WOODBINE RD
City: Pace
State: Florida
ZIP Code: 32571-8706
Phone: (850) 995-2500

Authorized Official

Name: DR. LEISA D LUDLAM
Title: OWNER
Phone: (850) 995-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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