Provider Demographics
NPI:1124891866
Name:EZRIN, HILLARY C (MS, LRC, CRC)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:C
Last Name:EZRIN
Suffix:
Gender:F
Credentials:MS, LRC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BROWN BEAR CIR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7115
Mailing Address - Country:US
Mailing Address - Phone:781-733-5685
Mailing Address - Fax:
Practice Address - Street 1:16 BROWN BEAR CIR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7115
Practice Address - Country:US
Practice Address - Phone:781-733-5685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALRC100000016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty