Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Gum, MS, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1689845109

Lisa Marie Gum, MS, CCC/SLP is a Qualified Speech Language Pathologist in Suffolk, Virginia. Qualified in 1996, 30 years ago. Practices with Rww Outpatient Rehab Services, LLC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
30
Licensed in
WV
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

100 N Main St
Suffolk, VA 23434-4529
Phone: (757) 925-6764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Smithfield St, Buckhannon, WV 26201-2620 — (304) 624-6554

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (WV)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1689845109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC/SLP
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESOctober 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Rww Outpatient Rehab Services, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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