Healthcare Provider Details

I. General information

NPI: 1992609234
Provider Name (Legal Business Name): LORRAN GARRISON MS, MAED, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 JACK LONDON AVE
ALAMEDA CA
94501-3901
US

IV. Provider business mailing address

235 WATERSTONE PL
SAN RAMON CA
94582-3016
US

V. Phone/Fax

Practice location:
  • Phone: 510-748-4006
  • Fax:
Mailing address:
  • Phone: 858-859-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: