Provider Demographics
NPI:1548546575
Name:SHERMAN, DONNA (RD, LD, CDE)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S BOLIVAR ST
Mailing Address - Street 2:STE. 102
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-4178
Mailing Address - Country:US
Mailing Address - Phone:903-472-4975
Mailing Address - Fax:903-472-4977
Practice Address - Street 1:110 S BOLIVAR ST
Practice Address - Street 2:STE. 102
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-4178
Practice Address - Country:US
Practice Address - Phone:903-472-4975
Practice Address - Fax:903-472-4977
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06272133V00000X
LA532133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered