Provider Demographics
NPI:1851270789
Name:BRITO AZCATL, YSHEL (SLP)
Entity type:Individual
Prefix:
First Name:YSHEL
Middle Name:
Last Name:BRITO AZCATL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RED CLOUD TRL APT 1002
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4550
Mailing Address - Country:US
Mailing Address - Phone:602-833-9689
Mailing Address - Fax:
Practice Address - Street 1:2402 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-3063
Practice Address - Country:US
Practice Address - Phone:765-446-9229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46004777A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist