Individual
DR. GINA WERTALIK BASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2360 W JOPPA RD, SUITE 318, LUTHERVILLE, MD 21093-4624
(410) 825-3646
(410) 825-3649
Mailing address
5908 CROSS COUNTRY BLVD, APT. B, BALTIMORE, MD 21215-3841
(410) 466-1145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04201
MD
103TC0700X
Clinical Psychologist
04201
MD
103TC2200X
Clinical Child & Adolescent Psychologist
04201
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
04201
MD
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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