Provider Demographics
NPI:1497902472
Name:FINK, KRYSTA WEBSTER (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTA
Middle Name:WEBSTER
Last Name:FINK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PROFESSIONAL PARK DR SE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6679
Mailing Address - Country:US
Mailing Address - Phone:540-951-4800
Mailing Address - Fax:540-951-3081
Practice Address - Street 1:200 PROFESSIONAL PARK DR SE
Practice Address - Street 2:SUITE 4
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6679
Practice Address - Country:US
Practice Address - Phone:540-951-4800
Practice Address - Fax:540-951-3081
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004664103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical