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Maxine A Ruddock

Counselor Psychologist Professional Counselor Mental Health Counselor and 11 more

2511 Dora Ave
Tavares , Florida 32778-4977

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

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

2511 Dora Ave Tavares , Florida 32778-4977

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

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FAQs


Where did Maxine A Ruddock attend graduate school?

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Where did Maxine A Ruddock do her residency?

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Where did Maxine A Ruddock do her fellowship?

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Is Maxine A Ruddock board certified?

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What type of doctor is Maxine A Ruddock

Clinical Psychologist

In what state does Maxine A Ruddock practice in?

Florida

Where is Maxine A Ruddock ’s practice located?

2511 Dora Ave , Tavares, Florida, 32778-4977

What is Maxine A Ruddock ’s gender?

Female

Is Maxine A Ruddock a sole practitioner?

No

Is Maxine A Ruddock accepting new patients?

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What languages does Maxine A Ruddock speak?

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Does Maxine A Ruddock accept insurance?

Yes, Maxine A Ruddock accepts insurance

Does Maxine A Ruddock offers telemedicine?

Maxine A Ruddock has not indicated if she offers telemedicine

What is Maxine A Ruddock ’s professional license number?

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What is Maxine A Ruddock ’s NPI number?

1205014461

Does Maxine A Ruddock have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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