MEDICARE: HILARY MARTIN CPRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		OH

General Provider Information

NPI Number	:	1073457842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY MARTIN CPRS

Provider Business Mailing Address
First Line	:	1627 EDWARDS AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-2073
Country	:	US
Telephone Number	:	234-214-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	1627 EDWARDS AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-2073
Country	:	US
Telephone Number	:	234-214-8470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ HILARY MARTIN CPRS” Practice Location

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