| Krysta Webster Fink, Ph.d., Pllc | |
|
201 Church St Se Ste D Blacksburg VA 24060-4878 | |
| (843) 632-0345 | |
| Not Available |
| Full Name | Krysta Webster Fink, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 201 Church St Se Ste D, Blacksburg, Virginia |
| Authorized Official Name and Position | Krysta Webster Fink (BUSINESS OWNER) |
| Authorized Official Contact | 8436320345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krysta Webster Fink, Ph.d., Pllc 201 Church St Se Ste D Blacksburg VA 24060-4878 Ph: () - | Krysta Webster Fink, Ph.d., Pllc 201 Church St Se Ste D Blacksburg VA 24060-4878 Ph: (843) 632-0345 |
| NPI Number | 1538799713 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Medicare PECOS PAC ID | 0446661227 |
|---|---|
| Medicare Enrollment ID | O20201130002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538799713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Krysta Lw Fink |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1497902472 PECOS PAC ID: 7315293701 Enrollment ID: I20180627000365 |
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