Provider Demographics
NPI:1306300876
Name:ARONOWITZ, JEN (PHD)
Entity type:Individual
Prefix:DR
First Name:JEN
Middle Name:
Last Name:ARONOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CAMBRIDGE AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1550
Mailing Address - Country:US
Mailing Address - Phone:650-823-5358
Mailing Address - Fax:
Practice Address - Street 1:350 CAMBRIDGE AVE STE 125
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1550
Practice Address - Country:US
Practice Address - Phone:650-823-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-29
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19012103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty