Leisa Dianne Ludlam is a Clinical in Pace, Florida. Leisa Dianne Ludlam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leisa Dianne Ludlam is 1497781835. The last update date is 2008-06-05.
Leisa Dianne Ludlam's current location address is 4509 Woodbine Rd, Pace, Florida. You can contact this provider via phone number 8509952500 and fax number 8509952501. The mailing address for Leisa Dianne Ludlam is 4509 Woodbine Rd, Pace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leisa Dianne Ludlam |
|---|---|
| Address | 4509 Woodbine Rd, Pace, Florida |
| Phone Number | 8509952500 |
| Fax Number | 8509952501 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1497781835 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 4509 Woodbine Rd |
|---|---|
| City | Pace |
| State | Florida (FL) |
| Post Code | 325718706 |
| Phone Number | 8509952500 |
| Fax Number | 8509952501 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0004705 |
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Definition: 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 |
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What is the unique 10-digit identifier code assigned to Leisa Dianne Ludlam by the Centers for Medicare & Medicaid Services?
The Leisa Dianne Ludlam has been issued the NPI (National Provider Identifier) 1497781835 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Leisa Dianne Ludlam is geographically located?
The Leisa Dianne Ludlam is physically situated at the following location: 4509 Woodbine Rd, Pace, FL, 325718706.
What is Leisa Dianne Ludlam's area of expertise and its corresponding taxonomy classification?
The Leisa Dianne Ludlam's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Leisa Dianne Ludlam receive its 1497781835 assignment from the Centers for Medicare & Medicaid Services?
The Leisa Dianne Ludlam was assigned its 1497781835 on 2006-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Leisa Dianne Ludlam's information last updated?
The Leisa Dianne Ludlam's information was last updated on 2008-06-05.
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