Provider Demographics
NPI:1679975619
Name:STAHLER, PAMELA (MS)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:STAHLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6175 HIGHLAND LN
Mailing Address - Street 2:
Mailing Address - City:GREENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53129-1912
Mailing Address - Country:US
Mailing Address - Phone:414-333-5133
Mailing Address - Fax:
Practice Address - Street 1:6175 HIGHLAND LN
Practice Address - Street 2:
Practice Address - City:GREENDALE
Practice Address - State:WI
Practice Address - Zip Code:53129-1912
Practice Address - Country:US
Practice Address - Phone:414-333-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor