Individual provider · Type 1 NPI

Leisa Dianne Ludlam, PhD

Clinical Psychologist · Pace, FL

NPI number 1497781835 Active

Practice location

4509 Woodbine Rd
Pace, FL 32571-8706

Fax (850) 995-2501

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY0004705 (FL)

Clinical Psychologist: 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 discip…

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About NPI 1497781835

Leisa Dianne Ludlam, PhD's National Provider Identifier is 1497781835, issued on Jun 25, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pace, FL. The record was last updated on Jun 5, 2008.