MEDICARE: DR. JACQUELINE BEARCE ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	3422	MA

General Provider Information

NPI Number	:	1144712936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE BEARCE ED.D.

Provider Business Mailing Address
First Line	:	132 PONDVIEW DR
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-3258
Country	:	US
Telephone Number	:	413-253-3987
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 PONDVIEW DR
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-3258
Country	:	US
Telephone Number	:	413-253-3987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	12/14/2025

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