Individual
GERALD JOSEPH GOSTYNSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MICHELLE DR, HUNLOCK CREEK, PA 18621-2926
(570) 262-6850
(570) 477-3604
Mailing address
20 MICHELLE DR, HUNLOCK CREEK, PA 18621-2926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006386L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000042270006
—
PA
Enumeration date
03/18/2007
Last updated
07/09/2007
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