Provider Demographics
NPI:1275425811
Name:LONGMIRE, CIARA DAWN (BS, SLPA)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:DAWN
Last Name:LONGMIRE
Suffix:
Gender:F
Credentials:BS, SLPA
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:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX408272355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant