Individual
DR. DIRK TAYLOR ELTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
46-001 KAMEHAMEHA HWY STE 409, KANEOHE, HI 96744-3749
(808) 236-3222
Mailing address
45-629 KULUKEOE PL, KANEOHE, HI 96744-3504
(808) 236-3222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1178-03P
HI
103T00000X
Psychologist
PSY-674
HI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY-674
HI
103TB0200X
Cognitive & Behavioral Psychologist
PSY-674
HI
103TC0700X
Clinical Psychologist
Primary
PSY-674
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22711-6
TRICARE PIN
HI
05
—
56429601
—
HI
Enumeration date
07/04/2006
Last updated
09/11/2025
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