Provider Demographics
NPI:1790782787
Name:MCALEER, CHARLES A (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:A
Last Name:MCALEER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 E 65TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4411
Mailing Address - Country:US
Mailing Address - Phone:912-355-5112
Mailing Address - Fax:912-355-5156
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4411
Practice Address - Country:US
Practice Address - Phone:912-355-5112
Practice Address - Fax:912-355-5156
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000693103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00211296CMedicaid
GA00211296CMedicaid
GA68BBFQGMedicare ID - Type Unspecified