Individual
BONNIE L CARLSON-GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, ST PAUL, MN 55102
(651) 220-6720
(651) 220-6707
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP3309
MN
Other
Enumeration date
03/22/2006
Last updated
09/11/2025
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