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

NPI 1255367918 - Psychologist - 103TC0700X

NPI Details
NPI 1255367918
Enumeration Date 06/24/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEISA DIANNE LEISA
Position PRESIDENT
Phone (850) 484-0926
Fax (850) 484-0988
Practice Location
9007 UNIVERSITY PKWY
PENSACOLA FL, 32514-5525, US
Phone (850) 484-0926
Fax (850) 484-0988
Business Location
9007 UNIVERSITY PKWY
PENSACOLA FL, 32514-5525, US
Phone (850) 484-0926
Fax (850) 484-0988
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number PY0004705
Remove 1255367918 NPI Number
 

According to our database, Leisa D. Ludlam Ph.d., P.a. NPI is 1255367918, taxonomy code is 103TC0700X and license number is PY0004705, license state is located at Florida. Leisa D. Ludlam Ph.d., P.a. physically located at 9007 University Pkwy, Pensacola FL, 32514-5525. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255367918 NPI number is provided on an as is basis without warranty of any kind. 1255367918 is maintained by the National Plan & Provider Enumeration System. The contents of Leisa D. Ludlam Ph.d., P.a. are for informational purposes only.