Dr. Alicia Brengman, PHD, MS
Counselor, Professional in Groton, Connecticut
1306310255- Practice location
- 500 Poquonnock RD, Groton, CT 06340-4568
- Phone
- 860-445-2191
- Fax
- 860-449-1869
- Last updated
- July 9, 2021
Alicia Brengman is a Counselor, Professional based in Groton, CT. Alicia Brengman practices in Groton, CT and has the professional credentials of PHD, MS. The NPI Number for Alicia Brengman is 1306310255 and holds a License No. 004342 (CT). The current practice location address for Alicia Brengman is 500 Poquonnock RD, Groton, CT 06340-4568 and can be reached out via phone at 860-445-2191 and via fax at 860-449-1869.
Provider Profile Details
- NPI Number
- 1306310255
- Provider Name
- Alicia Brengman
- Credential
- PHD, MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Poquonnock RD, Groton, CT 06340-4568
- Phone Number
- 860-445-2191
- Fax Number
- 860-449-1869
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 14, 2019
- Last Update Date
- July 9, 2021
- Certification Date
- July 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Poquonnock RD
Groton, CT 06340-4568 - City
- Groton
- State
- Connecticut
- Zip
- 06340-4568
- Phone Number
- 860-445-2191
- Fax Number
- 860-449-1869
Provider Business Mailing Address Details
- Address
- 255 Hempstead St
New London, CT 06320-6204 - City
- New London
- State
- CT
- Zip
- 06320-6204
- Phone Number
- 860-443-2896
- Fax Number
- 860-442-5909
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 004342
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Groton, CT
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Frequently Asked Questions
What is the NPI number of Dr. Alicia Brengman, PHD, MS?
The NPI number of Dr. Alicia Brengman, PHD, MS is 1306310255. It was assigned on January 14, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Alicia Brengman, PHD, MS?
Dr. Alicia Brengman, PHD, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 004342.
Where does Dr. Alicia Brengman, PHD, MS practice?
The practice location is 500 Poquonnock RD, Groton, CT 06340-4568. The office can be reached at 860-445-2191 (phone) or 860-449-1869 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306310255 directly on the NPPES registry website.