DR. Glen C Bolton, PSY.D.

NPI #1255191698 in Scott Air Force Base, Illinois

Provider Information

NPI Number: 1255191698
Entity Type: Individual
Name: DR. Glen C Bolton, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Mar 21, 2024
Last Updated: Sep 9, 2025

Practice Location

Address: 310 W LOSEY ST
City: Scott Air Force Base
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-7386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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