Provider Demographics
NPI:1447739495
Name:PIETRAS, ESAM JOSHUA
Entity Type:Individual
Prefix:
First Name:ESAM
Middle Name:JOSHUA
Last Name:PIETRAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 W BATH RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-2001
Mailing Address - Country:US
Mailing Address - Phone:216-926-5454
Mailing Address - Fax:
Practice Address - Street 1:705 OAKWOOD ST STE 221
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-2196
Practice Address - Country:US
Practice Address - Phone:216-926-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor