Individual
JAYLEEN HARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON VAMC, BOSTON, MA 02130-4817
(617) 555-1212
Mailing address
9 KIMBALL CT APT 1006, BURLINGTON, MA 01803-3871
(203) 506-9214
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
153836
MA
2084P0800X
Psychiatry Physician
Primary
153836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153836
MEDICAL LICENSE
MA
Enumeration date
12/06/2006
Last updated
03/07/2023
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