Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMY KATHLEEN LICIS, MD
ActiveDR. AMY KATHLEEN LICIS, MD is a Neurology healthcare provider located in SAINT LOUIS, Missouri. NPI 1992914352 is currently active in the NPPES registry. Verify at CMS.
Neurology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1992914352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2007 (19.258803998186 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
2009014878 (MO)2009014878 (MO)2009014878 (MO)
Practice Information
- Address
-
1600 S BRENTWOOD BLVDDIV NEUROLOGY SLEEP MED, STE 600SAINT LOUIS, MO, 631441320Browse MO providers · Browse ZIP 63144
- Phone
- 3143621408
- Fax
- 3147474342
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Neurology
Other Neurology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN JOSEPH O'KEEFE III | M.D. | 1891790788 |
| DR. MAHEEN MALIK | M.D. | 1205834033 |
| DR. ISAAC JOSHUA FAIBISOFF | MD | 1134114887 |
| DR. CHERYL A. FABER | M.D. | 1124017520 |
| DR. CARLOS M YU II | M.D. | 1417934894 |
| DR. JOHN MICHAEL HATLELID | M.D. | 1194796698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.