Basey, Gina Wertalik

Basey, Gina Wertalik is an individual health care provider with primary practice located at 2360 W Joppa Rd Suite 318, Lutherville MD 21093-4624. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Basey, Gina Wertalik can be contacted via phone (410) 825-3646.

Contact Information

Primary practice address
2360 W Joppa Rd Suite 318 Lutherville MD 21093-4624
Phone: (410) 825-3646
Fax: (410) 825-3649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04201 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 04201 Maryland
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 04201 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 04201 Maryland

Profile Details

NPI number 1821123233
LBN Legal business name Basey, Gina Wertalik
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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