Maxine Ruddock, PH.D

NPI 1205014461 · on the registry since 2008 · sole proprietor

Practice

Address: 2511 Dora Ave
Tavares, FL 32778
Phone: (352) 508-5399
Fax: (917) 677-7121
Organisation at this address: Maxine A Ruddock Phd P A
Comprehensive Psychological And Assessment Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 101YM0800X
101YA0400X
101YP2500X
1041C0700X
103TP2701X
103T00000X
103TA0400X
103TA0700X
103TC2200X
103TB0200X
103TC1900X
103TM1800X
101Y00000X
103TF0000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida