IndividualActive
Alicia Brengman, PHD, MS
NPI 1306310255 · Professional Counselor · Groton, CT
Provider details
- NPI number
- 1306310255
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, MS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
500 Poquonnock Rd
Groton, CT 06340-4568
Phone: (860) 445-2191
Fax: (860) 449-1869
Approximate (ZIP-level) locationGet directions
Mailing address
255 Hempstead St
New London, CT 06320-6204
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.