Marc Mytar, PHD

NPI 1568591709 · on the registry since 2007 · sole proprietor

Practice

Address: 64 Church St
Ellsworth, ME 04605
Phone: (207) 667-2095
Organisation at this address: Family Youth Integrated Counseling, Inc.
Tideside Clinical & Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: ME
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine