National Provider Identifier Database

LEISA D LUDLAM PHD PA
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LEISA D. LUDLAM PH.D., P.A.
9007 UNIVERSITY PKWY
PENSACOLA, FL32514-5525
Phone: 850-484-0926
Fax: 850-484-0988
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LEISA D. LUDLAM PH.D., P.A.

NPI Number 1255367918
Legal business name
LBN
LEISA D. LUDLAM PH.D., P.A.
Authorized official LEISA LUDLAM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PY0004705

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LEISA D. LUDLAM PH.D., P.A.

There are currently no reviews for LEISA D. LUDLAM PH.D., P.A.


NPIdb - Home
v2.201