Support Services for Infants and Toddlers, P.C.
Organization Active NPI Occupational Therapist · Hunlock Creek, PA
NPI 1790809689 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1790809689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- SUPPORT SERVICES FOR INFANTS AND TODDLERS, P.C.
- Practice address
- 20 Michelle Dr
Hunlock Creek, PA 18621-2926 - Phone
- (570) 262-6850
- Fax
- (570) 477-3604
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Gerald Joseph Gostynski Jr.
- Title
- President
- Phone
- (570) 262-6850
Practitioners 3
-
Jennifer Ann Kennedy, MS, CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
20 Michelle Dr
Hunlock Creek, PA 18621-2926
Mailing address
20 Michelle Dr
Hunlock Creek, PA 18621-2926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009927930001 | Medicaid | PA |
Other providers in Hunlock Creek, PA
- Aleigha Brooke Parnell
- Amanda Leah Rodriguez Rogers
- Kristen Sanders
- Marisa L Schmidt
- Richelle Janai Steele
All providers in Hunlock Creek, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.