Individual
DR. JENNIFER AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., D.P.T., D.O.
Contact information
Practice address
2850 TELEGRAPH AVE STE 120, BERKELEY, CA 94705-1159
(510) 204-8150
(510) 649-1238
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(510) 204-8150
(510) 649-1238
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20A12255
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
20A12255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12255
STATE MEDICAL LICENSE
CA
Enumeration date
03/23/2007
Last updated
05/14/2019
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