Search › Illinois › 103T00000X
Glen Bolton, PSY.D
NPI 1255191698 · on the registry since 2024
Practice
- Address
- 310 W Losey St
Scott Air Force Base, IL 62225 - Phone
- (618) 256-7386
- Organisation at this address
- St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Sex
- Male
- Record last updated
- 2025-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois