Healthcare Provider Details

I. General information

NPI: 1922935220
Provider Name (Legal Business Name): HUNTER PIETRZYCKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 CIRCLEVILLE AVE
ASHVILLE OH
43103-9638
US

IV. Provider business mailing address

80 S 18TH ST APT 251
COLUMBUS OH
43205-1681
US

V. Phone/Fax

Practice location:
  • Phone: 740-983-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.01227
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: