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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI # 1255367918
LBN Legal business name LEISA D. LUDLAM PH.D., P.A.
Authorized official LEISA LUDLAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # PY0004705
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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