Provider Demographics
NPI:1871738070
Name:DROUGHT, MARY MARGARET (MS ED, MS, OTRL)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:MARGARET
Last Name:DROUGHT
Suffix:
Gender:F
Credentials:MS ED, MS, OTRL
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:MARGARET
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED, MS, OTRL
Mailing Address - Street 1:91 LEDGE LN
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3321
Mailing Address - Country:US
Mailing Address - Phone:203-327-9838
Mailing Address - Fax:203-327-9838
Practice Address - Street 1:91 LEDGE LN
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3321
Practice Address - Country:US
Practice Address - Phone:203-327-9838
Practice Address - Fax:203-327-9838
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103T00000X
CT002108225X00000X
NY008651225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist