Healthcare Provider Details

I. General information

NPI: 1538799713
Provider Name (Legal Business Name): KRYSTA WEBSTER FINK, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W EVANS ST STE D105
FLORENCE SC
29501-3376
US

IV. Provider business mailing address

1801 W EVANS ST STE D105
FLORENCE SC
29501-3376
US

V. Phone/Fax

Practice location:
  • Phone: 843-632-0345
  • Fax:
Mailing address:
  • Phone: 843-632-0345
  • Fax: 843-989-0218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KRYSTA WEBSTER FINK
Title or Position: OWNER
Credential: PH.D.
Phone: 843-632-0345