Individual
BRENT RICHARD FERM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
150 MUIR RD, MENTAL HEALTH, MARTINEZ, CA 94553-4668
(925) 372-2105
(415) 383-3868
Mailing address
641 E BLITHEDALE AVE, MILL VALLEY, CA 94941-1477
(415) 383-0407
(415) 383-3868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13371
CA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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