Healthcare Provider Details

I. General information

NPI: 1750203188
Provider Name (Legal Business Name): CSO VOICE ANNAPOLIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 RIDGELY AVE
ANNAPOLIS MD
21401-1069
US

IV. Provider business mailing address

611 RIDGELY AVE
ANNAPOLIS MD
21401-1069
US

V. Phone/Fax

Practice location:
  • Phone: 443-808-9870
  • Fax: 443-926-0140
Mailing address:
  • Phone: 443-808-9870
  • Fax: 443-926-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CLARISSA M OCAMPO
Title or Position: PROVIDER/OWNER
Credential: SLP.D
Phone: 443-808-9870