Provider Demographics
NPI:1942095922
Name:GUMP, JASMINE M
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:M
Last Name:GUMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 BEECHWOOD BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-3178
Mailing Address - Country:US
Mailing Address - Phone:717-372-6605
Mailing Address - Fax:
Practice Address - Street 1:3141 BEECHWOOD BLVD APT 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-3178
Practice Address - Country:US
Practice Address - Phone:717-372-6605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health