Organization
LEISA D. LUDLAM PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEISA DIANNE LUDLAM PH.D. (PRESIDENT)
(850) 484-9026
Entity
Organization
Contact information
Practice address
9007 UNIVERSITY PKWY, PENSACOLA, FL 32514-5525
(850) 484-0926
(850) 484-0988
Mailing address
9007 UNIVERSITY PKWY, PENSACOLA, FL 32514-5525
(850) 484-0926
(850) 484-0988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004705
FL
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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