Myriam Allen, OTR.
Individual provider Active NPI Specialist · Gallup, NM
NPI 1497713408 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1497713408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1628 (NM)
- Practice address
- 1000 E.Aztec Ave
Gallup, NM 87301 - Phone
- (505) 721-1800
- Fax
- (505) 721-1899
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1628 | NM | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallup McKinley County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1628 | NM | Yes |
Addresses
Primary practice location
1000 E.Aztec Ave
Gallup, NM 87301
Mailing address
937 E Buena Vista Ave
Apartment B
Gallup, NM 87301-5510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000F1388 | Medicaid | NM |
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.