Provider Demographics
NPI:1144926098
Name:DUNAGAN, CIARA NAOMI (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:NAOMI
Last Name:DUNAGAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 E CLAY ST APT B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-8137
Mailing Address - Country:US
Mailing Address - Phone:440-941-9463
Mailing Address - Fax:
Practice Address - Street 1:2400 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3119
Practice Address - Country:US
Practice Address - Phone:440-941-9463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist