Jesse Bergenbaum, MSCCC-SLP
Jesse Bergenbaum, MSCCC-SLP is a Speech-Language Pathologist in Lexington, South Carolina. Licensed in New York and South Carolina. Registered with an NPI since 2015.
- Licensed in
- NY, SC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
112 Brown Perch DrLexington, SC 29072-2484
Phone: (917) 837-8268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 8071 (SC) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 021775 (NY) |
Record details
| NPI number | 1649669052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | January 22, 2015 |
| Last updated in NPPES | March 31, 2026 |
| Certification date | March 31, 2026 |
| Mailing address | 112 Brown Perch Dr, Lexington, SC 29072-2484 |
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