Provider Demographics
NPI:1992162416
Name:STAHL, CARA L (PSYD)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:STAHL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:MULCAHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1766 MAJESTIC LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6759
Mailing Address - Country:US
Mailing Address - Phone:406-373-3500
Mailing Address - Fax:
Practice Address - Street 1:1766 MAJESTIC LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6759
Practice Address - Country:US
Practice Address - Phone:406-373-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist