Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN C BOLTON, PSY.D.
ActiveDR. GLEN C BOLTON, PSY.D. is a Psychologist healthcare provider located in SCOTT AIR FORCE BASE, Illinois. NPI 1255191698 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SCOTT AIR FORCE BASE, IL
Registration Details
- NPI Number
- 1255191698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2024 (2.4099484358399 yrs)
- Last Updated
- Sep 9, 2025
Practice Information
- Address
-
310 W LOSEY STSCOTT AIR FORCE BASE, IL, 622255250Browse IL providers · Browse ZIP 62225
- Phone
- 6182567386
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.