Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonnie L Carlson-Green, PHDLP

Individual provider Clinical Neuropsychologist · NPI 1063471506

Bonnie L Carlson-Green, PHDLP is a Clinical Neuropsychologist in St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

347 N Smith Avenue Childrens Specialty Clinic Psychological Services Stpl
St Paul, MN 55102
Phone: (651) 220-6720
Fax: (651) 220-6707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence LP3309 (MN)

Record details

NPI number1063471506
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLP
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJuly 13, 2026

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