LEISA D. LUDLAM, PH.D.,P.A.
Psychologist at Woodbine Rd, Milton, FL

License number
Florida PY4705
Category
Psychologist
Type
Psychologist
Owner
Name: DR. LEISA D LUDLAM
Title: OWNER
Phone: (850) 995-2500
Address
Address
4509 Woodbine Rd, Milton, FL 32571
National Provider ID: 1295271443
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LEISA D. LUDLAM, PH.D.,P.A. at bizstanding.com

LEISA D. LUDLAM, PH.D., PA

Milton, FL  -  Pensacola, FL

Registration:
Jul 5, 2002
Addresses:
4509 Woodbine Rd, Milton, FL 32571 (Physical)
9007 University Pkwy, Pensacola, FL 32514
State ID:
P02000074154
Business type:
Florida Profit Corporation
President, Director:
Leisa D Ludlam (President, Director), 4509 Woodbine Rd, Milton, FL 32571 (Physical)
Agent:
Leisa Ludlam,4509 Woodbine Rd, Milton, FL 32571 (Physical)
EIN:
611434566

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