DR. Amy Kathleen Licis, MD is a neurology psychiatry neurology in Saint Louis, MO with 20 years of experience. The provider is 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. DR. Amy Kathleen Licis, MD NPI is 1992914352. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004
The provider's business location address is:
1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
ZIP 63144-320
Phone: (314) 362-1408
Fax: (314) 747-4342
The NPI 1992914352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/22/2007 and was last updated on 4/25/2024.