Individual provider · Type 1 NPI
Jennifer Bruckman Hawthorne, M.A., PSY.D.
Clinical Psychologist · Charlotte, NC
Practice location
5410 Addison Dr
Charlotte, NC 28211-4139
Fax (828) 252-9111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 3582 (NC) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1669679619
Jennifer Bruckman Hawthorne, M.A., PSY.D.'s National Provider Identifier is 1669679619, issued on Jul 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 29, 2026.