Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUG BOLTON, PH.D.
ActiveDOUG BOLTON, PH.D. is a Clinical Psychologist healthcare provider located in CHICAGO, Illinois. NPI 1639630718 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CHICAGO, IL
Registration Details
- NPI Number
- 1639630718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2019 (7.3614480159453 yrs)
- Last Updated
- Mar 29, 2019
- License
-
071005517 (IL)
Practice Information
- Address
-
5100 N RAVENSWOOD AVE STE 225CHICAGO, IL, 606401752Browse IL providers · Browse ZIP 60640
- Phone
- 8722419337
- Fax
- 8722419338
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY M LEAVITT | PSYD | 1588667315 |
| DR. RAY EDWARD QUACKENBUSH | PSY.D. | 1619970357 |
| DR. PAUL DALE LINDEN | PSY.D. | 1578568622 |
| DR. MARY ELIZABETH PAUL | PH.D. | 1366441917 |
| ANNE R WOLFE | PHD | 1619977907 |
| CRAIG WHITNEY JOCK | PSYD | 1407857873 |
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.