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

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