Provider Demographics
NPI:1184852139
Name:DRAPER, ELLARY A (MM, MT-BC, NICU-MT)
Entity Type:Individual
Prefix:
First Name:ELLARY
Middle Name:A
Last Name:DRAPER
Suffix:
Gender:F
Credentials:MM, MT-BC, NICU-MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 COLLEGE PARK DR
Mailing Address - Street 2:#3303
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4592
Mailing Address - Country:US
Mailing Address - Phone:936-271-0621
Mailing Address - Fax:
Practice Address - Street 1:3600 COLLEGE PARK DR
Practice Address - Street 2:#3303
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-4592
Practice Address - Country:US
Practice Address - Phone:936-271-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL08276225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist