IndividualActive
Bonnie Carlson-Green, PHD LP
NPI 1063471506 · Clinical Neuropsychologist · St Paul, MN
Provider details
- NPI number
- 1063471506
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LP
- Sex
- Female
- License
- LP3309 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
347 North Smith Avenue
Childrens Specialty Clinic Psychological Services Stpl
St Paul, MN 55102
Phone: (651) 220-6720
Fax: (651) 220-6707
Approximate (ZIP-level) locationGet directions
Mailing address
2910 Centre Pointe Drive
Roseville, MN 55113
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.