NPI 1063471506
Bonnie L Carlson-Green, PHDLP
Practice location
- Address
- 347 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102
- Phone
- (651) 220-6720
- Fax
- (651) 220-6707
- Mailing address
- 2910 Centre Pointe Drive 35-121a Childrens Health Care, Roseville, MN 55113
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1063471506
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Mar 2006
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.