MAXINE A RUDDOCK (PH.D.) – Clinical Psychologist, NPI 1205014461

Clinical Psychologist

MAXINE A RUDDOCK (PH.D.) is a healthcare provider. based in Tavares, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY7658 (FL). The NPI Number for MAXINE A RUDDOCK (PH.D.) is 1205014461

Main info

Female

Sole Proprietor

Name

MAXINE A RUDDOCK (PH.D.)

NPI

1205014461

Phone

(352) 508-5399

Address

2511 DORA AVE

Enumeration Date

8 February 2008

Last Update Date

2 May 2015

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience60

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MAXINE A RUDDOCK (PH.D.)

2511, Dora Avenue, Tavares, Lake County, Florida, 32778, United States
TAVARES, FL 327784977
Phone: (352) 508-5399
Fax: (917) 677-7121
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32778)

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Frequently asked questions

How do I look up MAXINE A RUDDOCK (PH.D.) by NPI?

Use NPI 1205014461 when you need to reference MAXINE A RUDDOCK (PH.D.) in forms, claims, or directories.

Is MAXINE A RUDDOCK (PH.D.) active in the national directory?

MAXINE A RUDDOCK (PH.D.)'s public NPI profile is in an active state.

What does MAXINE A RUDDOCK (PH.D.) treat or focus on?

Patients typically see MAXINE A RUDDOCK (PH.D.) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Where does public data place MAXINE A RUDDOCK (PH.D.)?

The snapshot lists Tavares, Florida for MAXINE A RUDDOCK (PH.D.); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.