Individual provider · Type 1 NPI

Jesse Bergenbaum, M.S CCC-SLP

Speech-Language Pathologist · Lexington, SC

NPI number 1649669052 Active

Practice location

112 Brown Perch Dr
Lexington, SC 29072-2484

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X021775 (NY)
Speech-Language Pathologist Primary 235Z00000X8071 (SC)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1649669052

Jesse Bergenbaum, M.S CCC-SLP's National Provider Identifier is 1649669052, issued on Jan 22, 2015. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lexington, SC. The record was last updated on Mar 31, 2026.