Individual provider · Type 1 NPI
Maxine A. Ruddock, PhD
Clinical Psychologist · Tavares, FL
Practice location
2511 Dora Ave
Tavares, FL 32778-4977
Fax (917) 677-7121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PY7658 (FL) |
| Mental Health Counselor | 101YM0800X | PY7658 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PY7658 (FL) |
| Professional Counselor | 101YP2500X | PY7658 (FL) |
| Clinical Social Worker | 1041C0700X | PY7658 (FL) |
| Group Psychotherapy Psychologist | 103TP2701X | PY7658 (FL) |
| Psychologist | 103T00000X | PY7658 (FL) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PY7658 (FL) |
| Adult Development & Aging Psychologist | 103TA0700X | PY7658 (FL) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY7658 (FL) |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY7658 (FL) |
| Counseling Psychologist | 103TC1900X | PY7658 (FL) |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PY7658 (FL) |
| Counselor | 101Y00000X | PY7658 (FL) |
| Family Psychologist | 103TF0000X | PY7658 (FL) |
Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1205014461
Maxine A. Ruddock, PhD's National Provider Identifier is 1205014461, issued on Feb 8, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tavares, FL. The record was last updated on May 2, 2015.