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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONNIE L CARLSON-GREEN, PHD LP

Active

BONNIE L CARLSON-GREEN, PHD LP is a Clinical Neuropsychologist healthcare provider located in ST PAUL, Minnesota. NPI 1063471506 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · ST PAUL, MN

Registration Details

NPI Number
1063471506
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2006 (20.211535363109 yrs)
Last Updated
Sep 11, 2025
License
LP3309 (MN)

Practice Information

Address
347 NORTH SMITH AVENUE
CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL
ST PAUL, MN, 55102
Browse MN providers · Browse ZIP 55102
Phone
6512206720
Fax
6512206707
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in ST PAUL, MN

Name Credential NPI
CYNTHIA RICHARDSON SPICUZZA PHD, LP 1427035021
JEREMY T ALDEN PHD LP 1376656991
JULIE ANN ROBINSON PHD LP 1184737710
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.