MEDICARE: WONDER WORDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1760322622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WONDER WORDS LLC

Provider Business Mailing Address
First Line	:	112 BROWN PERCH DR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2484
Country	:	US
Telephone Number	:	917-837-8268
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 BROWN PERCH DR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2484
Country	:	US
Telephone Number	:	917-837-8268
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MR. JESSE BERGENBAUM
Credential	:	M.S CCC-SLP
Telephone Number	:	917-837-8268

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “WONDER WORDS LLC ” Practice Location

Language	Start Address	Practice Location

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