NPI Index

DR. AMY LICIS, MD

Psychiatry & Neurology - Neurology

Active Individual
NPI: 1992914352

Practice Address

1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
Saint Louis, MO 63144

Phone: (314) 362-1408

Specialties

Specialty Code Primary License
Pediatrics - Sleep Medicine 2080S0012X No 2009014878 (MO)
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology 2084N0402X No 2009014878 (MO)
Psychiatry & Neurology - Neurology 2084N0400X Yes 2009014878 (MO)

Frequently Asked Questions

NPI 1992914352 is the National Provider Identifier for DR. AMY LICIS, MD, a Psychiatry & Neurology - Neurology provider located in Saint Louis, MO. This NPI was enumerated on May 22, 2007.
DR. AMY LICIS, MD practices at 1600 S BRENTWOOD BLVD, DIV NEUROLOGY SLEEP MED, STE 600, Saint Louis, MO 63144.

Quick Facts

NPI
1992914352
Type
Individual
Enumerated
May 22, 2007
Last Updated
Apr 17, 2025

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