Amy Kathleen Licis, MD
Neurology Physician · Saint Louis, MO
Practice location
1600 S Brentwood BlvdDiv Neurology Sleep Med, Ste 600
Saint Louis, MO 63144-1320
- Phone
- (314) 362-1408
- Fax
- (314) 747-4342
NPI record
- NPI
- 1992914352
- Entity type
- Individual (Type 1)
- Enumeration date
- May 22, 2007
- Last updated
- April 17, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurology Physician Primary | 2084N0400X |
2009014878 | MO |
| Pediatric Sleep Medicine Physician | 2080S0012X |
2009014878 | MO |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X |
2009014878 | MO |
Mailing address
PO Box 7412011Chicago, IL 60674-2011
- Phone
- (314) 362-1408
- Fax
- (314) 747-4342
About Dr. Licis
Amy Kathleen Licis, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, MO 63144-1320. The NPI number 1992914352 was assigned on May 22, 2007 and the record was last updated on April 17, 2025.
Dr. Licis lists 3 licenses in the registry: #2009014878 (MO) for Neurology Physician; #2009014878 (MO) for Pediatric Sleep Medicine Physician; #2009014878 (MO) for Neurology with Special Qualifications in Child Neurology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amy Kathleen Licis, MD?
The NPI number is 1992914352.
What is the phone number of Dr. Licis?
The phone number listed for the practice location is (314) 362-1408.
Where is Dr. Licis located?
1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, MO 63144-1320.
What is the taxonomy code for Dr. Licis?
The primary taxonomy code is 2084N0400X – Neurology Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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