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
Other Community/Behavioral Health Agencies in Tavares, Florida:
Preventive Behaviors & Solutions Inc.
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Lake County Board Of County Commissioners
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Children'S Home Society Of Florida
Tavares, FLSpecialty: Community/Behavioral Health Agency (Primary)
Comprehensive Psychological And Assessment Services
Tavares, FLSpecialty: Community/Behavioral Health Agency (Primary)