NPI Index

BONNIE CARLSON-GREEN, PHD LP

Clinical Neuropsychologist

Active Individual
NPI: 1063471506

Practice Address

347 NORTH SMITH AVENUE
CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL
St Paul, MN 55102

Phone: (651) 220-6720

Specialties

Specialty Code Primary License
Clinical Neuropsychologist 103G00000X Yes LP3309 (MN)

Frequently Asked Questions

NPI 1063471506 is the National Provider Identifier for BONNIE CARLSON-GREEN, PHD LP, a Clinical Neuropsychologist provider located in St Paul, MN. This NPI was enumerated on March 22, 2006.
BONNIE CARLSON-GREEN, PHD LP practices at 347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, St Paul, MN 55102.

Quick Facts

NPI
1063471506
Type
Individual
Enumerated
Mar 22, 2006
Last Updated
Sep 11, 2025

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