Dr Glen C Bolton, PSYD - Psychologist in Scott Air Force Base, IL

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Dr Glen C Bolton, PSYD is a Psychologist based in Scott Air Force Base, Illinois. Dr Glen C Bolton is licensed to practice in * (Not Available) (license number ) and his current practice location is 310 W Losey St, Scott Air Force Base, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 256-7386.

NPI number for Dr Glen C Bolton is 1255191698 and his current mailing address is 310 W Losey St, Scott Air Force Base, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255191698.

Contact Information

Dr Glen C Bolton, PSYD
310 W Losey St,
Scott Air Force Base, IL 62225-5250
(618) 256-7386
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Glen C Bolton
GenderMale
SpecialityPsychologist
Location310 W Losey St, Scott Air Force Base, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255191698
  • Provider Enumeration Date: 03/21/2024
  • Last Update Date: 09/09/2025

Medical Identifiers

Medical identifiers for Dr Glen C Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255191698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glen C Bolton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glen C Bolton, PSYD
310 W Losey St,
Scott Air Force Base, IL 62225-5250

Ph: (618) 256-7386		Dr Glen C Bolton, PSYD
310 W Losey St,
Scott Air Force Base, IL 62225-5250

Ph: (618) 256-7386

Reviews and Comments


Psychologist in Scott Air Force Base, IL


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