Divine Intervention Speech-Language Therapy Services, LLC

NPI #1083013023 in Lakeland, Georgia

Provider Information

NPI Number: 1083013023
Entity Type: Organization
Organization Name: Divine Intervention Speech-Language Therapy Services, LLC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 108 S HIGHWAY 135
Address 2: SUITE A
City: Lakeland
State: Georgia
ZIP Code: 31635-6356
Phone: (229) 560-1135

Authorized Official

Name: KEISHA BANKS
Title: OWNER
Phone: (229) 560-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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Keisha Banks	Speech-Language Pathologist	Lakeland	AI Deep Dive
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Erica R Wilson, MEDCCCSLP	Speech-Language Pathologist	Conyers	AI Deep Dive
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