Amy Licis, MD

NPI 1992914352 · on the registry since 2007

Practice

Address: 1600 S Brentwood Blvd
Div Neurology Sleep Med, Ste 600
Saint Louis, MO 63144
Phone: (314) 362-1408
Fax: (314) 747-4342
Organisation at this address: Brentwood Pediatrics Pc
St. Louis Autism Testing Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: Neurology Physician
2084N0400X
Also registered as: Pediatric Sleep Medicine Physician
Neurology with Special Qualifications in Child Neurology Physician
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri