Jennifer Bruckman Hawthorne M.A., PSY.D.

NPI 1669679619 - Psychologist - 103TC0700X

NPI Details
NPI 1669679619
Gender Female
Enumeration Date 07/02/2007
Last Updated 03/15/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
8440 REA ROAD
SUITE M
CHARLOTTE NC, 28277-6711, US
Phone (704) 608-8091
Fax
Business Location
8440 REA ROAD
SUITE M
CHARLOTTE NC, 28277-6711, US
Phone (704) 608-8091
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State North Carolina
License Number 3582
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According to our database, Dr. Jennifer Bruckman Hawthorne M.A., PSY.D. NPI is 1669679619, taxonomy code is 103TC0700X and license number is 3582, license state is located at North Carolina. Jennifer Bruckman Hawthorne M.A., PSY.D. physically located at 8440 Rea Road, Charlotte NC, 28277-6711. NPI Number Jennifer Bruckman Hawthorne M.A., PSY.D. has the Individual type.

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1669679619 NPI number is provided on an as is basis without warranty of any kind. 1669679619 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Bruckman Hawthorne M.A., PSY.D. are for informational purposes only.