National Provider Identifier Database

AMY K LICIS, MD – NPI #1992914352
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

AMY K LICIS, MD
1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO63144-1320
Phone: 314-362-1408
Fax: 314-747-4342
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neurology with Special Qualifications in Child Neurology 2084N0402X
Sleep Medicine 2080S0012X

* Indicates primary specialty

NPI Profile & details for AMY K LICIS

NPI Number 1992914352
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 04/17/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • MO License #: 2009014878
  • MO Medicaid: 204515803
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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