Carlson-Green, Bonnie L

Carlson-Green, Bonnie L is an individual health care provider with primary practice located at 347 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl, St Paul MN 55102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Carlson-Green, Bonnie L can be contacted via phone (651) 220-6720.

Contact Information

Primary practice address
347 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl St Paul MN 55102
Phone: (651) 220-6720
Fax: (651) 220-6707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3309 Minnesota

Profile Details

NPI number 1063471506
LBN Legal business name Carlson-Green, Bonnie L
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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