Individual provider · Type 1 NPI

Doug Bolton, PhD

Clinical Psychologist · Chicago, IL

NPI number 1639630718 Active

Practice location

5100 N Ravenswood Ave Ste 225
Chicago, IL 60640-1752

Fax (872) 241-9338

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071005517 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1639630718

Doug Bolton, PhD's National Provider Identifier is 1639630718, issued on Mar 29, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 29, 2019.