| Doctor Name: | SUSAN ALINE SIMLE |
| NPI Number: | 1811127822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.I.C.S.W. |
| License Number: | 18243 |
| Business Practice Address: | 240 Main St. Ellendale, ND - 58436 |
| Business Phone Number: | 7013493666 |
| Business Fax Number: | |
| Mailing Address: | Po Box 782, ELLENDALE |
| State: | ND |
| Postal Code: | 584360782 |
| Phone Number: | 7015350616 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2009 |
| NPI Last Update Date: | 07/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 18243 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |