Healthcare Provider Details

I. General information

NPI: 1851284905
Provider Name (Legal Business Name): WHITNEY BLAIR URANE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11224 SOUTHWEST FWY STE 120
HOUSTON TX
77031-3631
US

IV. Provider business mailing address

13618 COUNTRY GREEN CT
HOUSTON TX
77059-3559
US

V. Phone/Fax

Practice location:
  • Phone: 713-776-9449
  • Fax:
Mailing address:
  • Phone: 903-738-0778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36639
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number36639
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: