Individual provider · Type 1 NPI

Bonnie L. Carlson-Green, PHD LP

Clinical Neuropsychologist · St. Paul, MN

NPI number 1063471506 Active

Practice location

347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl
St. Paul, MN 55102

Call (651) 220-6720 Map

Fax (651) 220-6707

Mailing address

2910 Centre Pointe Drive, 35-121A Childrens Health Care
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XLP3309 (MN)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1063471506

Bonnie L. Carlson-Green, PHD LP's National Provider Identifier is 1063471506, issued on Mar 22, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.