Provider Demographics
NPI:1356143234
Name:AYUK, DELVINE NKONGHO
Entity type:Individual
Prefix:
First Name:DELVINE
Middle Name:NKONGHO
Last Name:AYUK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7147 MOUNT ZION CIR APT 1203
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-3330
Mailing Address - Country:US
Mailing Address - Phone:470-894-0009
Mailing Address - Fax:
Practice Address - Street 1:7147 MOUNT ZION CIR APT 1203
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-3330
Practice Address - Country:US
Practice Address - Phone:943-238-3539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide