Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXINE A RUDDOCK, PH.D.
Active Sole ProprietorMAXINE A RUDDOCK, PH.D. is a Clinical Psychologist healthcare provider located in TAVARES, Florida. NPI 1205014461 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TAVARES, FL
Registration Details
- NPI Number
- 1205014461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2008 (18.492854260855 yrs)
- Last Updated
- May 2, 2015
- Licenses
-
PY7658 (FL)PY7658 (FL)PY7658 (FL)PY7658 (FL)PY7658 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2511 DORA AVETAVARES, FL, 327784977Browse FL providers · Browse ZIP 32778
- Phone
- 3525085399
- Fax
- 9176777121
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Clinical Social Worker
Other Clinical Psychologist Providers in TAVARES, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NADINE VAUGHAN | PH.D. | 1093756637 |
| DR. BRIAN LEE BOYD | PH.D. | 1992746051 |
| DR. EVELYN R BAEZ-ROJAS | PH.D. | 1477614139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.