Provider Demographics
NPI:1912878208
Name:MARRINAN, MAGGIE RAE QIN
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:RAE QIN
Last Name:MARRINAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 OTTO AVE UNIT 2322
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-5043
Mailing Address - Country:US
Mailing Address - Phone:608-304-5312
Mailing Address - Fax:
Practice Address - Street 1:750 OTTO AVE UNIT 2322
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-5043
Practice Address - Country:US
Practice Address - Phone:608-304-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4057235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist