Provider Demographics
NPI:1497191902
Name:TWOSISTERS, BLYTHE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BLYTHE
Middle Name:
Last Name:TWOSISTERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 COMMERCE ST STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-2319
Mailing Address - Country:US
Mailing Address - Phone:432-698-0141
Mailing Address - Fax:281-605-6722
Practice Address - Street 1:2339 COMMERCE ST STE 135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2319
Practice Address - Country:US
Practice Address - Phone:432-698-0141
Practice Address - Fax:281-605-6722
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36566103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical