AMY KATHLEEN LICIS

SAINT LOUIS, MO
NPI1992914352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO  2009014878)
Additional Taxonomies2080S0012X Pediatrics, Sleep Medicine
(Licence: MO  2009014878)
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: MO  2009014878)
Enumeration Date2007-05-22
Last Update Date2024-04-25
Business Address
Dr. AMY KATHLEEN LICIS MD
1600 S BRENTWOOD BLVD DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO 63144-1320
Phone number: 314-362-1408
Mailing Address
Dr. AMY KATHLEEN LICIS MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-1408