LEISA D. LUDLAM PH.D., P.A. (NPI# 1255367918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255367918 |
| Entity Type | Organization |
| Organization Name | LEISA D. LUDLAM PH.D., P.A. |
| Practice Address |
9007 University Pkwy Pensacola FL 32514-5525 |
| Practice Telephone | 8504840926 |
| Practice Fax Number | 8504840988 |
| Mailing Telephone | 8504840926 |
| Mailing Fax Number | 8504840988 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEISA DIANNE LUDLAM (PRESIDENT) |
| Authorized Official Telephone | 8504849026 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0004705 | FL | Behavioral Health & Social Service Providers |
| Street Address |
9007 UNIVERSITY PKWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629475033 | Pensacola Physical Medicine Inc | Chiropractor | 9007 University Pkwy, Pensacola, FL 32514-5525 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658044 | Erin Rabideau | Psychologist | 3356 Wellington Rd, Pensacola, FL 32504-7425 | 2016-09-30 |
| 1245521418 | Louis Desonier, Phd Pa | Psychologist | 1717 North 'e' St. Suite 303, Pensacola, FL 32501-6339 | 2011-04-22 |
| 1649410192 | Daniel L Dolgin Phd | Psychologist | 3298 Nighthawk Ln, Pensacola, FL 32506-9667 | 2009-02-24 |
| 1225243512 | Lawrence John Gilgun | Psychologist | 6160 N Davis Hwy Ste 9c, Pensacola, FL 32504-6967 | 2007-05-11 |
| 1306061957 | Michael Brant Demaria | Psychologist | 512 E Zaragoza St, Pensacola, FL 32502-6155 | 2007-04-16 |
| 1730241209 | Pensacola Psychological Clinic Pa | Psychologist | 3 W Garden St, Ste 370, Pensacola, FL 32502-5641 | 2006-12-14 |
| 1710072590 | Patricia Ann Black-gould | Psychologist | 10116 Bittern Dr # 32507, Pensacola, FL 32507-7208 | 2006-10-04 |
| 1649380718 | Jonathan Drake Miller | Psychologist | 4630 Canter Row, Pensacola, FL 32526-5077 | 2006-08-30 |
| 1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
| 1407820277 | Charles Eric Folkers | Psychologist | 216 S Tarragona St, Pensacola, FL 32502-6509 | 2006-02-16 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.