Healthcare Provider Details

I. General information

NPI: 1215023205
Provider Name (Legal Business Name): MS. MONICA ROSE OBERSTAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MONICA ROSE OBERSTAR

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 GRAND AVE
GRAND JUNCTION CO
81501-8007
US

IV. Provider business mailing address

2115 GRAND AVE
GRAND JUNCTION CO
81501-8007
US

V. Phone/Fax

Practice location:
  • Phone: 970-776-6073
  • Fax:
Mailing address:
  • Phone: 970-776-6073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24449361
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.008244
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: