LEISA D. LUDLAM, PH.D.,P.A.
NPI 1295271443
Psychologist in Pace, FL

Active since January 12, 2017
4509 WOODBINE RD, PACE, FL 32571(850) 995-2500(850) 995-2501 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leisa D. Ludlam, Ph.d.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEISA D. LUDLAM, PH.D.,P.A. (NPI 1295271443) is a healthcare organization registered as a psychologist in Pace, Florida and active in the NPI registry since January 2017. The organization lists Leisa D Ludlam, Owner, as its authorized official.

NPPES Registry Identity

NPI1295271443
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLEISA D. LUDLAM, PH.D.,P.A.
Location Address4509 WOODBINE RDPace, FL 32571-8706
Mailing Address4509 Woodbine RdPace, FL 32571-8706 · (850) 995-2500 · Fax (850) 995-2501
Fax(850) 995-2501
Organization SubpartNo
Authorized OfficialLeisa D LudlamOwner · (850) 995-2500
Enumeration DateJanuary 12, 2017
NPI 1295271443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY4705
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4509 WOODBINE RD, Pace, FL 32571

Other Identifiers 1

Medicare PIN73947FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4509 WOODBINE RD
PACE, FL 32571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leisa D. Ludlam, Ph.D.,p.A.'s NPI number?

The NPI number for Leisa D. Ludlam, Ph.D.,p.A. is 1295271443. It was assigned to this organization in the NPPES registry on January 12, 2017.

Where is Leisa D. Ludlam, Ph.D.,p.A. located?

Leisa D. Ludlam, Ph.D.,p.A. is located at 4509 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 995-2500.

What is Leisa D. Ludlam, Ph.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Leisa D. Ludlam, Ph.D.,p.A. was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.