Provider Demographics
NPI:1538799713
Name:KRYSTA WEBSTER FINK, PH.D., PLLC
Entity type:Organization
Organization Name:KRYSTA WEBSTER FINK, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRYSTA
Authorized Official - Middle Name:WEBSTER
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:843-632-0345
Mailing Address - Street 1:201 CHURCH ST SE STE D
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-4878
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 CHURCH ST SE STE D
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-4878
Practice Address - Country:US
Practice Address - Phone:843-632-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty