Individual
MARY BETH COLTHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12312 WHITE EAGLE DR, MANASSAS, VA 20112-3215
(703) 508-4438
(703) 663-9849
Mailing address
12312 WHITE EAGLE DR, MANASSAS, VA 20112-3215
(703) 508-4438
(703) 663-9849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007668
VA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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