Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Beth Coltharp, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730615840

Mary Beth Coltharp, MSCCC-SLP is a Speech-Language Pathologist in Manassas, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

12312 White Eagle Dr
Manassas, VA 20112-3215
Phone: (703) 508-4438
Fax: (703) 663-9849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202007668 (VA)

Record details

NPI number1730615840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 10, 2017
Last updated in NPPESMay 10, 2017
Mailing address12312 White Eagle Dr, Manassas, VA 20112-3215

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