Maxine A Ruddock
Counselor Psychologist Professional Counselor Mental Health Counselor and 11 more
2511 Dora Ave
Tavares
, Florida 32778-4977
Maxine A Ruddock
Counselor Psychologist Professional Counselor Mental Health Counselor and 11 more
2511 Dora Ave
Tavares
, Florida 32778-4977
(917) 677-7121
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About
Features
Specialties
- Counselor
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
- Professional Counselor
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Intellectual & Developmental Disabilities
- Group Psychotherapist
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Maxine A Ruddock
- 2511 Dora Ave
- Tavares, FL
- Zip : 32778-4977
- Fax : (917) 677-7121
- Phone : (352) 508-5399
Second Address
- Maxine A Ruddock
- 2511 Dora Ave
- Tavares, FL
- Zip : 32778-4977
- Fax : (917) 677-7121
- Phone : (352) 508-5399
Reviews
FAQs
Where did Maxine A Ruddock attend graduate school?
Where did Maxine A Ruddock do her residency?
Where did Maxine A Ruddock do her fellowship?
Is Maxine A Ruddock board certified?
What type of doctor is Maxine A Ruddock
In what state does Maxine A Ruddock practice in?
Where is Maxine A Ruddock ’s practice located?
What is Maxine A Ruddock ’s gender?
Is Maxine A Ruddock a sole practitioner?
Is Maxine A Ruddock accepting new patients?
What languages does Maxine A Ruddock speak?
Does Maxine A Ruddock accept insurance?
Does Maxine A Ruddock offers telemedicine?
What is Maxine A Ruddock ’s professional license number?
What is Maxine A Ruddock ’s NPI number?
Does Maxine A Ruddock have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | PY7658 | FL |
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | PY7658 | FL |
| N | 101YM0800X | Mental Health Counselor | PY7658 | FL |
| N | 101YP2500X | Professional Counselor | PY7658 | FL |
| N | 102L00000X | Psychologist | PY7658 | FL |
| N | 103T00000X | Psychologist | PY7658 | FL |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PY7658 | FL |
| N | 103TA0700X | Adult Development & Aging Psychologist | PY7658 | FL |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PY7658 | FL |
| Y | 103G00000X | Clinical Psychologist | PY7658 | FL |
| Y | 103TC0700X | Clinical Psychologist | PY7658 | FL |
| N | 103TC1900X | Counseling Psychologist | PY7658 | FL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY7658 | FL |
| N | 103TF0000X | Family Psychologist | PY7658 | FL |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PY7658 | FL |
| N | 103TP2701X | Group Psychotherapist | PY7658 | FL |
| N | 1041C0700X | Clinical Social Worker | PY7658 | FL |
National Provider Identifier
| NPI | 1205014461 |
|---|---|
| Provider Name | Maxine A Ruddock |
| First Address | Tavares, FL 32778-4977 |
| Second Address | Tavares, FL 32778-4977 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2008 |
| Last Update Date | 02/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004105100 | (05) | FL |
| 008648900 | (05) | FL |
| AJ642X | (02) | FL |
| AJ642Y | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.