Provider Demographics
NPI:1275425811
Name:LONGMIRE, CIARA DAWN (MS, CF-SLP INTERN)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:DAWN
Last Name:LONGMIRE
Suffix:
Gender:F
Credentials:MS, CF-SLP INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 SHERRILL ST
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-6855
Mailing Address - Country:US
Mailing Address - Phone:409-242-8324
Mailing Address - Fax:
Practice Address - Street 1:4801 9TH AVE
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5802
Practice Address - Country:US
Practice Address - Phone:409-984-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist