Frequently Asked Questions

Speech Therapy 

What is Speech Therapy?

Speech Pathologists work with people who are having challenges from the neck up. Speech Therapy diagnose and treat a variety of speech-language, cognitive, voice, and feeding-swallowing difficulties in children and adults. Read more about Best Speech Therapy, PLLC's services on our Speech Pathology and Voice Therapy pages.

Tell me about Best Speech Therapy, PLLC's Free Consultation.

Best Speech Therapy offer's an initial phone consultation free of charge with our head SLP. Marcia will ask about your concerns, doctor's diagnosis (if any), other professionals recommendations, and whether the client has previously received speech therapy services. After learning about the client, Marcia then shares information about the therapeutic process and answers any additional questions. If it's determined that the client would benefit from a speech therapy evaluation, a follow up evaluation can be scheduled on our website. An evaluation may consist of formal and informal assessments such as standardized tests, patient and/or caregiver interview, observation, and more to determine if speech therapy is recommended and devise a plan with goals for treatment. 

What is aphasia?

Aphasia is a language disorder resulting from a brain injury, most often from Strokes. Aphasia is a language based deficit which impacts the person's ability to understand and/or express their thoughts effectively. It may also impact a person's ability to read and write. Treatment depends on what your wanting to achieve and what you need. 

Some signs and symptoms of Aphasia: 

  • Can't think of the words you want to say.

  • Say the wrong word. Sometimes, you may say something related, like "fish" instead of "chicken." Or you might say a word that does not make much sense, like "radio" for "ball."

  • Not understanding what others say. This may happen more when they speak fast, such as on the news. You might have more trouble with longer sentences, too.

  • Find it hard to understand what others say when it is noisy or you are in a group.

  • Have trouble understanding jokes.

  • Reading forms, books, and computer screens.

  • Spelling and putting words together to write sentences.

  • Using numbers or doing math. For example, it may be hard to tell time, count money, or add and subtract.

What is apraxia?

Apraxia of Speech is a motor speech disorder caused by brain injury in which a breakdown occurs in the motor planning of muscles movements. In other words, the breakdown is at the level of coordination and sequencing of the muscle movements to make sounds, words, phrases, or conversation. Treatment focuses on retraining the movement of the mouth muscles to correctly produce words and phrases. Severe cases may warrant alternative communication through the use of hand gestures, writing, pictures, and/or computer devices. 


Signs and symptoms of apraxia:

  • Have trouble imitating and saying sounds on your own. You may add new sounds, leave sounds out, or say sounds the wrong way.

  • Be able to say something the right way one time but the wrong way the next time.

  • Move your tongue and lips to get them into the right place as you try to say sounds. This is called groping.

  • Speak more slowly.

  • Be able to say things that you say all the time—like "Hello" or "How are you?"—without much trouble. This is called automatic speech.

  • Not be able to say any sounds at all. This may happen in severe cases.

What is dysarthria?

Dysarthria is a speech disorder characterized of weak muscles due to brain injury. Speech sounds slurred and makes it difficult to be understood by others. Treatment focuses movements of the mouth, breathing, and clear sound production, and may include oral muscle exercises. 

Some common causes of dysarthria include but are not limited to:

  • Stroke

  • Brain injury

  • Tumors

  • Parkinson's disease

  • Amyotrophic lateral sclerosis, or ALS

  • Huntington's disease

  • Multiple sclerosis

  • Cerebral palsy

  • Muscular dystrophy

Do I "stutter"?

Everyone "stutters" occasionally. We all have disfluencies such as "uh" or "you know" or we may even repeat a word, phrase or part of a word or a phrase.  These disfluencies are normal if they happen every once in a while. 


If you notice frequent disruptions in your speech, you may stutter. 

People who stutter may have the following disfluencies:

  • Blocks. This happens when you have a hard time getting a word out. You may pause for a long time or not be able to make a sound. For example, "I want a ...... cookie."

  • Prolongations. You may stretch a sound out for a long time, like cooooooooooookie.

  • Repetitions. You may repeat parts of words, like co-co-co-cookie.


Stuttering can change from day to day. You may have times when you are fluent and times when you stutter more. Stress or excitement can lead to more stuttering.

Stuttering is more than just the blocks or repetitions in your speech. It can also make you tense your body or struggle to talk. Stuttering may get in the way of how you talk to others. You may want to hide your stuttering. So, you may avoid certain words or refuse to talk in some situations. For example, you may not want to talk on the phone if that makes you stutter more.

If you avoid certain words or refuse to talk in some situations or feel like you want to hide your stuttering, it may be a good idea to work with a licensed and certified speech pathologist who can help overcome some of these barriers and teach you some fluency enhancing strategies. 

How long does speech therapy take?

The length of time it takes to treat depends on several critical factors. Best Speech Therapy's goal is to provide therapy to assist the client to reach their optimal communication and graduate from the program as soon as is appropriate. The client and/or caregiver's willingness to work outside of therapy sessions will facilitate graduation sooner rather later. 

Occasionally, our speech pathologists may request consults with other professionals such as ear-nose-throat doctors, dental professionals, physical therapists, occupational therapists, neuropsychological professionals, etc to address underlying concerns which may impact the client's progress.

What should I expect from an evaluation?

Prior to coming to the evaluation, a questionnaire regarding your concerns and medical, language, educational, and developmental (if appropriate) history will be completed. 

At the evaluation, the speech pathologist will have the opportunity to assess the patient's communication skills. Assessments may include standardized testing, observation, caregiver interview, review of previous evaluations. Play based evaluations may be conducted with young children. The evaluation results will determine if treatment is necessary. Treatment cannot be initiated unless an evaluation has been completed. 

Referrals to other professionals may be recommended as part of the treatment plan if the client shows difficulties in areas outside of the speech pathologist's scope of practice. This may include audiology, ENT, occupational therapy, physical therapy, orthodontists, oral myologists, etc. 

What are your fees?

Assessment: Best Speech Therapy, PLLC utilizes both informal and formal testing measures, including client/caregiver interview, clinical observations, as well as standardized tests to evaluation speech, language, and voice skills. The client's strengths and needs in the area in question are examined to determine a plan of care and goals for treatment. Following the assessment, you will receive a written report with recommendations. Evaluations are scheduled in 1.5 -2 hour blocks. If for some reason an evaluation requires more time than the usual to complete, an additional 60 minute appointment will be scheduled with a fee of $175.  

Comprehensive Speech and Language Evaluation: $400

Articulation Evaluation: $325

Orofacial Myofunctional Evaluation: $400

Voice Evaluation: $300 

Stuttering Evaluation: $300

*Additional 60 minute appointments required to complete an evaluation: $175

Therapy: Best Speech Therapy, PLLC uses evidence-based treatment approaches and customizes each therapy plan based on the client's strengths and needs. All therapy is individualized to meet the client's unique learning style, incorporate his/her personal interests, and capitalize on their strengths to build and improve the client's communication skills. Home exercise programs are provided for carrying out new skills learned during speech therapy into daily routines. 

Therapy Sessions: 

30 minute sessions $125

60 minute sessions $175

Consultations/Review of Records/Second Opinions/Potential Goals/Classroom observations: $150 per hour

Payment: We are currently an out-of-network provider with all insurance companies. However, this does not mean your insurance company will not cover some/all services. Payment for services is due at the time of your appointment to Best Speech Therapy, PLLC via Zelle or our secure online portal for credit cards. Please call your insurance company to find out if you are eligible for out-of-network speech language therapy and/or evaluation reimbursement. This call can be complicated so download our comprehensive guide that contains all the information to provide and questions you should ask to determine your coverage.