Healthcare Provider Details

I. General information

NPI: 1144712936
Provider Name (Legal Business Name): JACQUELINE BEARCE ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 PONDVIEW DR
AMHERST MA
01002-3258
US

IV. Provider business mailing address

132 PONDVIEW DR
AMHERST MA
01002-3258
US

V. Phone/Fax

Practice location:
  • Phone: 413-253-3987
  • Fax:
Mailing address:
  • Phone: 413-253-3987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3422
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: