Services
Evaluation and treatment for adults, delivered one person at a time — online or at home.
Where these difficulties begin
Speech & Language Therapy
We evaluate and treat aphasia, which affects the ability to speak, understand, read, and write, and dysarthria, which affects the clarity and strength of speech. These conditions often result from Stroke, Traumatic Brain Injury, Parkinson's disease, brain tumors, or other neurological changes.
Aphasia therapy, dysarthria therapy, implementation of multi-modality communication, augmentative alternative communication (AAC), referrals to be made as necessary.
Swallow Therapy
We evaluate and treat dysphagia, a swallowing disorder that can cause coughing, choking, or difficulty managing food, liquids, and medications. This condition often results from Stroke, Traumatic Brain Injury, Parkinson's disease, ALS, Multiple Sclerosis, Dementia, Head and Neck Cancer, or other medical and neurological changes.
Dysphagia therapy, swallow maneuvers, bolus modification, postural techniques, education on safe swallow/feeding strategies, referrals for imaging or specialists as necessary. Supportive communication with hospital-based specialists can be provided, especially following a recent hospital discharge. We are certified in MBSImP™ and the McNeill Dysphagia Therapy Program (MDTP™), allowing us to pinpoint the cause of swallowing difficulties and provide targeted, evidence-based treatment through telehealth or at home.
Cognitive-Linguistic Therapy
We evaluate and treat cognitive-linguistic disorders, which affect attention, memory, problem-solving, reasoning, and the ability to organize thoughts and express them clearly. These challenges often result from Stroke, Traumatic Brain Injury, Concussion, Dementia, Parkinson's Disease, Multiple Sclerosis, Brain Tumors, or other neurological changes.
Therapy targeting attention, memory, executive functions (such as planning, problem-solving, and reasoning), and visuospatial skills, helping you manage daily routines, follow conversations, and return to the activities that matter most. Assessment uses standardized cognitive-linguistic tests selected to be linguistically, medically, and age appropriate for each patient. Also certified in the MoCA™ (Montreal Cognitive Assessment).
Voice Therapy
We evaluate and treat voice disorders, which can cause hoarseness, reduced loudness, vocal strain, fatigue, or changes in pitch and quality. These conditions often result from Parkinson's Disease, Stroke, Vocal Fold Paralysis, Vocal Nodules or Polyps, Muscle Tension Dysphonia, Head and Neck Cancer, or other medical and neurological changes.
Referrals for imaging or specialists as necessary, education on vocal strategies. Experienced in the use of Passy Muir® Valves (speaking valves); patients must be cleared by their physician for use in the home setting. We are also certified in SPEAK OUT!®, an evidence-based therapy program developed by Parkinson Voice Project to help individuals with Parkinson's Disease speak with a stronger, clearer voice.
Accent Modification
We work with corporate professionals who want to communicate with greater clarity and confidence in meetings, presentations, client calls, and leadership roles.
Using standardized assessment to identify specific pronunciation, intonation, rhythm, and stress patterns, we then provide individualized therapy that helps you achieve your unique goals. With a background in healthcare management and leadership, we understand the communication demands of professional environments and tailor each session to the real-world situations you face at work.
Fees & Billing
- Private Pay
- Legacy Speech & Swallow Therapy is private pay, and your first consultation is free.
- Insurance
- We are out-of-network with all insurance carriers at this time, but can provide a superbill for you to submit for possible reimbursement. Coverage and reimbursement amounts are not guaranteed, and most carriers require a physician's prescription with a medical diagnosis.
- Medicare
- Accepting Medicare patients soon! Caring for older adults is close to our hearts, which is why we are pursuing Medicare Provider certification so we can soon welcome Medicare beneficiaries and make quality care more accessible to those who need it most. Stay tuned.
A $25 flat travel fee applies to each in-home initial evaluation and in-home treatment session for clients located beyond Marin County.
- When
- Due at the time of service
- How
- Cash, check, credit card, or Zelle
- Packages
- Paid in full at the first session of the package
- Cancellations
- Please give at least 24 hours' notice. Cancellations with less than 24 hours' notice incur a $100 fee. Thank you for your courtesy.
Ready to get started?
The first consultation is free. Tell us what's going on and we'll take it from there.
Request a Consultation