Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxine A Ruddock, PHD

Individual provider Clinical Psychologist · NPI 1205014461

Maxine A Ruddock, PHD is a Clinical Psychologist in Tavares, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
Specialties on file
15
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2511 Dora Ave
Tavares, FL 32778-4977
Phone: (352) 508-5399
Fax: (917) 677-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY7658 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence PY7658 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence PY7658 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence PY7658 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence PY7658 (FL)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PY7658 (FL)
Psychologist Taxonomy 103T00000X · Licence PY7658 (FL)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PY7658 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PY7658 (FL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PY7658 (FL)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PY7658 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence PY7658 (FL)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PY7658 (FL)
Counselor Taxonomy 101Y00000X · Licence PY7658 (FL)
Family Psychologist Taxonomy 103TF0000X · Licence PY7658 (FL)

Record details

NPI number1205014461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 8, 2008
Last updated in NPPESMay 2, 2015
Mailing address2511 Dora Ave, Tavares, FL 32778-4977

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