IndividualActive
Mary Beth Coltharp, M.S. CCC-SLP
NPI 1730615840 · Speech-Language Pathologist · Manassas, VA
Provider details
- NPI number
- 1730615840
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2202007668 (VA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12312 White Eagle Dr
Manassas, VA 20112-3215
Phone: (703) 508-4438
Fax: (703) 663-9849
Street-level locationGet directions
Mailing address
12312 White Eagle Dr
Manassas, VA 20112-3215
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2017-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.