Individual
MR. FERRIS KEVIN BRUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PPS
Contact information
Practice address
1111 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-1843
(415) 472-4110
Mailing address
926A DIABLO AVE # 452, NOVATO, CA 94947-4000
(408) 680-9662
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/08/2025
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