Provider Demographics
NPI:1770545998
Name:KRECKO, VALENTINS FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:VALENTINS
Middle Name:FRANCIS
Last Name:KRECKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 FREEDOM WAY STE 200
Mailing Address - Street 2:PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9282
Mailing Address - Country:US
Mailing Address - Phone:717-600-0900
Mailing Address - Fax:717-600-0910
Practice Address - Street 1:2351 FREEDOM WAY STE 200
Practice Address - Street 2:PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9282
Practice Address - Country:US
Practice Address - Phone:717-600-0900
Practice Address - Fax:717-600-0910
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039464E2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA672356OtherHIGHMARK BLUE SHIELD
PA1245053Medicaid
PA50035026OtherCAPITAL BLUE CROSS
PABK1158206OtherDEA
PABK1158206OtherDEA