Services tailored
to your needs
Our Process
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Step 1: Free Consultation
We understand that families often have many questions about speech and language therapy. Contact us to set up a free 15 minute call where we will discuss your specific needs and whether speech and language therapy may be right for your family.
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Step 2: Evaluation
We will take an in-depth look at your child’s speech and language skills using a variety of measures such as family input, language samples, observations, and/or standardized assessments. If therapy is recommended, we will create a treatment plan that addresses your child’s individual needs.
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Step 3: Therapy Sessions
Based on your evaluation results, we will work together to make an individualized treatment plan and choose specific goals that will make the most positive impact on your child’s communication. Taking your child’s strengths and interests into account, we will select the most appropriate and evidence-based therapy approaches to help your child succeed.
Evaluations
Comprehensive Speech & Language Evaluations
We provide deep-dive diagnostic assessments that go beyond simple checklists. Our evaluations look at the whole child to identify strengths, challenges, and a clear path forward.
• 1-2 hours of evaluation time (may be split over 1-2 sessions).
• Multidimensional assessment using formal, informal, and dynamic measures.
• Comprehensive written clinical report with data-driven analysis and insights.
• 20-minute results review with parents/caregivers.
• Optional 15-minute consultation with pediatrician or teacher.
Fee: $850
Specialized AAC Evaluations
Communication is a human right and it takes many forms beyond spoken language. We provide specialized support for Augmentative and Alternative Communication (AAC) to help find the right tools, from high-tech tablet-based speech generation devices to low-tech printed communication boards, that best support your child's voice and personality. This process looks deeper than a standard evaluation to ensure we find a perfect "match" between the technology and your child's individual strengths.
Clinical AAC Assessment
This assessment is designed for children and individuals who find that spoken language alone isn't enough to meet their daily communication needs. You might consider this evaluation if your child is currently non-speaking, has limited verbal speech, or if their speech is difficult for others to understand. It is also a valuable step if you feel your child has much more to say than they are currently able to express and you want to explore tools that can help bridge that gap.
• Comprehensive profile of expressive and receptive communication skills.
• Specialized feature-matching analysis of linguistic, cognitive, and physical access requirements.
• Access to specialized software, high-tech speech-generating apps, and low-tech trial materials.
• Detailed clinical report and implementation roadmap with specific app settings and functional goals.
Fee: $950
Insurance Funding Add-on:
This service is an optional add-on to the base Clinical AAC Assessment for families who wish to pursue a dedicated speech-generating device through their insurance provider. You might choose this add-on if you are seeking a permanent, specialized communication tool—often classified by insurance as Durable Medical Equipment (DME)—and need a partner to navigate the complex clinical requirements and 10–15 page report necessary for funding approval.
• Includes 4 follow-up sessions during the trial period for family coaching and data collection.
• Coordination of multi-device trials (typically spanning 3–6 weeks, depending on insurance requirements).
• Direct collaboration with technology vendors and specialists.
• Drafting of the comprehensive medical necessity report, required for insurance funding approval.
Additional Fee: +$550
Therapy & Other Services
Individualized Speech-Language Therapy
Once we have a clear understanding of your child’s strengths and needs, we move into therapy that is customized just for them. We provide respectful, research-backed support for children with various communication styles, including those who use speech-generating devices (AAC), children building social connections, and students working on the foundational talking and listening skills needed for school success.
We view parents and caregivers as incredibly valuable members of the team; you are always welcome and encouraged to be present during sessions if you would like to be.
Virtual speech-language therapy sessions are available upon request. Please reach out to see if your child is a good candidate for teletherapy sessions.
60-minute session: $180
45-minute session: $135
30-minute session: $90
Specialized Coaching & Support
We offer dedicated space for caregivers to solve complex challenges and build sustainable communication systems that work for the whole family.
Parent Strategy & Support for Speech & Language
Targeted 1:1 sessions for families who are exploring communication support but aren't yet ready for a formal evaluation, or for those looking to effectively bridge the gap between their child's school-based therapy and daily life at home.
Coaching for the Neuro-Inclusive Home
A holistic, problem-solving approach for neurodivergent and mixed-neurotype families who feel "stuck" in difficult daily cycles. We look at the whole system—environment, sensory needs, and multidisciplinary supports—to resolve daily challenges and "tangles" in a way that honors your child's unique perspective.
Fee: $180 per hour (Prorated at $90 for 30-minute sessions)
Educational Advocacy & Consulting
Navigating the special education system can be overwhelming. We provide professional guidance to help you advocate for your child's needs in the classroom and community.
IEP & Record Review
A thorough review of your child’s IEP and past evaluations, followed by a meeting where we walk through the paperwork together to ensure the plan truly reflects your child's strengths and includes the right supports for them to succeed.
Advocacy in IEP Meetings
Direct clinical support through attendance at school meetings (IEP/CSE/504) to help interpret complex data, translate clinical needs into educational language, and advocate for neurodiversity-affirming services for your child.
School Observations
An objective, clinical look at your child’s communication in their learning environment to ensure their tools are being used effectively and to bridge the gap between therapy goals and the reality of their everyday experience in the classroom.
Clinical Documentation
Professional preparation of formal letters and summaries required to secure insurance coverage, disability services, or other community-based support by providing clear clinical justification for your child's needs.
Fee: $180 per hour (Prorated at $90 for 30-minute sessions)
Policies & Helpful Information
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Insurance & Superbills
We are a private-pay practice, which allows us to provide the high-quality, individualized care your family deserves without the restrictions often imposed by insurance companies—such as session limits, rigid eligibility requirements, or coverage caps. We are an out-of-network provider.
Upon request, we provide a monthly "Superbill" for you to submit to your insurance company for potential reimbursement. We recommend contacting your provider beforehand to confirm your out-of-network benefits. We accept debit, credit, HSA, and FSA; payment is due at the time of service.
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Service Areas & Travel
We are a mobile practice and provide therapy in the comfort of your home or community setting.
Primary Service Zone: Travel is included for sessions within 15 miles of Cold Spring, which includes Garrison, Beacon, Fishkill, and Peekskill.
Extended Service Zone (16–25 miles): $35 per session
Outer Service Zone (26–30 miles): $60 per session
31+ miles: Travel time is billed at the clinical hourly rate
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Cancellations
Consistency is essential for progress. We require 24 hours' notice for all cancellations. Sessions cancelled with less than 24 hours' notice will be billed at the full rate, with the exception of true emergencies.
