Provider Demographics
NPI:1467988568
Name:PEARCE, JEAN MARIE (MA)
Entity Type:Individual
Prefix:
First Name:JEAN MARIE
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 BAYLEY-HAZEN RD
Mailing Address - Street 2:
Mailing Address - City:EAST HARDWICK
Mailing Address - State:VT
Mailing Address - Zip Code:05836-9874
Mailing Address - Country:US
Mailing Address - Phone:802-334-4441
Mailing Address - Fax:
Practice Address - Street 1:1310 BAYLEY-HAZEN RD
Practice Address - Street 2:
Practice Address - City:EAST HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05836-9874
Practice Address - Country:US
Practice Address - Phone:802-441-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist