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NPI Code Detail

MEDICARE: MRS. CIARA DAWN LONGMIRE MS., CF-SLP INTERN

MEDICARE:  MRS. CIARA DAWN LONGMIRE  MS., CF-SLP INTERN
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
1235Z00000XSpeech-Language Pathologist124349TX

General Provider Information

NPI Number : 1275425811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CIARA DAWN LONGMIRE MS., CF-SLP INTERN
Provider Business Mailing Address
First Line : 611 SHERRILL ST
Second Line :
City : WEST ORANGE
State : TX
Zip : 77630-6855
Country : US
Telephone Number : 409-242-8324
Fax Number :
Provider Business Practice Location Address
First Line : 4801 9TH AVE
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77642-5802
Country : US
Telephone Number : 409-984-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2025
Last Update Date : 10/01/2025

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Directions to “ MRS. CIARA DAWN LONGMIRE MS., CF-SLP INTERN” Practice Location

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