Provider Demographics
NPI:1245259514
Name:MCALENEY, PATRICK J (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:MCALENEY
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 1:114 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5306
Mailing Address - Country:US
Mailing Address - Phone:910-484-0176
Mailing Address - Fax:910-484-5781
Practice Address - Street 1:114 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5306
Practice Address - Country:US
Practice Address - Phone:910-484-0176
Practice Address - Fax:910-484-5781
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25370103TC0700X
NC3239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04633OtherBCBS INDIVIDUAL
NC6000902Medicaid
NC0173POtherBCBS GROUP
NC04633OtherBCBS INDIVIDUAL