Provider Demographics
NPI:1255616074
Name:DYR, BRITTANY LEIGH (MS, LCGC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEIGH
Last Name:DYR
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LEIGH
Other - Last Name:SCHUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:248 MORNING MIST LN
Mailing Address - Street 2:
Mailing Address - City:ST JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-8511
Mailing Address - Country:US
Mailing Address - Phone:904-568-1390
Mailing Address - Fax:
Practice Address - Street 1:248 MORNING MIST LN
Practice Address - Street 2:
Practice Address - City:ST JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-8511
Practice Address - Country:US
Practice Address - Phone:904-568-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001414170300000X
170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS