# PHILLIP CHARLES WEIR-MAYTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639309800
- **Gender:** Man
- **Credential:** PH.D., CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 10357 | CA | — |
| 235Z00000X | Speech-Language Pathologist | LL60093354 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 04/06/2024