Organization

Maxine A Ruddock Phd P A

May also be knows as Comprehensive Psychological & Assessment Services

Community/Behavioral Health Agency in Tavares, FL(View on Map)

Legal Business Name

Maxine A Ruddock Phd P A

Also Known As

Comprehensive Psychological & Assessment Services

NPI Number

1578732632

NPI Type

Organization

Enumeration Date

02/22/2008

Specialties

(Taxonomies)

Code

251S00000X
251B00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PY7658

Contact
Information

Purpose

Mailing
Location

Address

2511 DORA AVE
2511 DORA AVE

City

Tavares
Tavares

State

FL
FL

Postal Code

32778-4977
32778-4977

Country

US
US

Telephone Number

(352) 508-5399
(352) 508-5399

Authorized Official

Name

Dr. Maxine Ruddock

Title or Position

DIRECTOR

Telephone Number

(352) 508-5399

Identifiers

Identifier

004100303
004100300
008487400

Identifier State

FL
FL
FL

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/27/2015

Provider Address

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Organization

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Organization

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Organization

Children'S Home Society Of Florida

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Organization

Comprehensive Psychological And Assessment Services

Tavares, FL

Specialty: Community/Behavioral Health Agency (Primary)