Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leisa D. Ludlam, Ph D , PA

Organization Psychologist · NPI 1295271443

Leisa D. Ludlam, Ph D , PA is a Psychologist in Pace, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4509 Woodbine Rd
Pace, FL 32571-8706
Phone: (850) 995-2500
Fax: (850) 995-2501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY4705 (FL)

Record details

NPI number1295271443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leisa Ludlam — Owner · (850) 995-2500
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address4509 Woodbine Rd, Pace, FL 32571-8706

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