Provider Demographics
NPI:1962812651
Name:HARRIS, JENNIFER HUANG (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HUANG
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:SHERRY
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 BROOKLINE PLAZA
Mailing Address - Street 2:SUITE #502
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-383-9820
Mailing Address - Fax:954-838-5443
Practice Address - Street 1:1 BROOKLINE PLAZA
Practice Address - Street 2:SUITE #502
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445
Practice Address - Country:US
Practice Address - Phone:617-383-9820
Practice Address - Fax:954-838-5443
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA2694432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program