Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Bruckman Hawthorne, MA, PSYD

Individual provider Clinical Psychologist · NPI 1669679619

Dr. Jennifer Bruckman Hawthorne, MA, PSYD is a Clinical Psychologist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

5410 Addison Dr
Charlotte, NC 28211-4139
Phone: (704) 608-8091
Fax: (828) 252-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3582 (NC)

Record details

NPI number1669679619
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , PSYD
Sole proprietorYes
NPI enumeratedJuly 2, 2007
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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