Offered in New York or Over by Teletherapy to Those Outside NYC
Speech in The City LLC provides private speech/feeding/lactation evaluations, school consultations, and direct one-to-one speech therapy in the following areas guided by the American Speech and Hearing Association’s rigorous standards
Speech, Pre-Speech & Language Therapy
Children who are not yet using verbal speech
Children with delayed or disordered speech
Children who are having challenges planning speech
Children who have a motor speech disorder like apraxia or dyspraxia
Children who have an injury resulting in loss of speech such as traumatic brain injury
Children with language based disorders and challenges
Children with auditory processing disorders.
Children with voice disorders.
Children with social skills and pragmatic challenges.
Children with behavioral differences
Children with sensory differences
Children relying on Alternative & Augmentative Communication to verbally express themselves.
Gestlat Langauge Processors
Lactation Services
Mother and Infant Feeding Support ages 0+
Babies who may need more support with latching, milk supply concerns
Breast and nipple pain and soreness
Weight concerns
Pain or breast damage
Supplementation Plugged milk ducts
Mastitis, Engorgement
Breastfeeding / chestfeeding
Weaning Bottle-feeding
Breastmilk pumping Back to work
Feeding, Pre-Feeding & Oral Motor Therapy
Children who are having trouble eating my mouth
Children with a history of reflux related eating challenges
Children who are having trouble transitioning through different textures (example purees to solids)
Children who are working on transitioning from tube to oral eating
Children who are working on taste trials of food
Children who need support with muscle movements of the oral motor system in order to prepare for eating by mouth
Children who have had challenges with feeding therapy in the past due to poor perceptions of eating
Children with facial anatomical differences
Children who are “picky” or “prefer” certain types of foods including texture, temperature and color
Children with myofunctional disorders for example thrust, tongue tie, lip tie.
Children with acquired traumatic brain injury resulting in swallowing impairment.
We believe it is our job to help children to the best of our abilities by providing a safe place and safe feelings around food. Though we have an office location, most of feeding therapy is done at home or through telemedicine to avoid any additional stress on the child and family during mealtimes.
Including a comprehensive case history; oral mechanism examination; hearing screening; speech sound assessment (single-word testing and connected speech sampling), including severity, intelligibility, stimulability, speech perception; spoken-language testing, including receptive and expressive language assessment, phonological processing; literacy assessment. Treatment and management of diagnosis.
Determining any overlapping or similar signs and symptoms. Alongside a collaborative information from families, caregivers, classroom teachers, other speech langauge pathologists, psychologists, hearing teachers, and other health care professionals. Treatment and management of diagnosis.
Diagnosing and managing sensory, motor and/or behavioral feeding disorders. Using clinical competency to provide proper referrals for specialists including swallow studies (MBSS or FEES) based on the severity of the disorder. Creating and managing a plan of care and trails of new foods, diets and consistencies.
Early Intervention and identification of language and hearing disorders including receptive language disorder, expressive langauge disorder, cognitive disorders, mutism, dyslexia, auditory processing and other language disorders including severity and assessment.
This include assessing the adult/child who is a mouth breather and/or has difficulty breathing through the nose. Other assessments include looking at tongue movement, eating patterns, jaw tension, disordered lip movement, dental limitations, and sound disorders, as well as excessive drooling psat the age of two. Referring out to other a dentist, an orthodontist, and/or doctor if needed. Treatment and management of diagnosis.
Speech Language Pathologists that are trained in Natural Language Acquisition (NLA) provide neurodiversity affirming, child-led therapy to children who are Gestalt Language Processors.
“We were referred to Rebecca through another therapist to help us with some feeding and speech issues we’re working on with our son, Bennett, who has CP and is on a feeding tube. We are so…
Read the full reviewA Caring Mom
She is young, energetic, has a great tech background and wants to work in a progressive environment with equally motivated, energetic therapists. She does so much extra work in the community outside of school and…
Read the full reviewEmail from one parent to another parent
“My son, Jesse, started working with Rebecca when he was just 4 years old. His initial evaluation was eye-opening, revealing he was more delayed in speech and language development than we had thought. Since that…
Read the full reviewSarah, a Mom and Former Client