Speech Services

Helping children build confident communication through play, connection, and individualized therapy.

Whether your child is saying their first words, working on speech clarity, or developing language skills, therapy is designed to meet them where they are while giving families practical strategies to use at home.

  • Every child’s journey begins with a comprehensive evaluation. We assess your child’s speech and language to identify strengths, challenges, and areas for growth. This evaluation allows us to develop a customized treatment plan tailored to your child’s unique needs.

    Outside evaluations conducted within the last six-months may also be accepted.

    *Re-evaluations will be completed once yearly to track progress and adjust treatment plan objectives.

    60 minutes

  • We work with children of all ages to improve speech clarity, language development, and social communication. Our therapy addresses:

    Speech sound disorders (articulation, phonology, CAS/ motor speech)

    Stuttering

    Language delays and disorders

    Augmentative & Alternative Communication (AAC)

    35 minutes

  • For children ages birth to 3, we provide early support to address developmental delays in communication and feeding. Early intervention can make a lasting difference in your child’s growth. We partner with families to create home routines and strategies that reinforce progress. Our goal is to empower you with the tools and confidence to support your child beyond the therapy room.

    35 minutes

  • Not sure where to start? We offer complimentary phone consultations to discuss your concerns, answer questions, and help you understand how our services can support your child’s needs. This is a no-pressure opportunity to explore your options and get professional guidance.

    15-20 minutes

Feeding Services

Supporting safe, positive, and confident feeding experiences from infancy through childhood.

Feeding challenges can look very different depending on a child's age. Whether your newborn is struggling with bottle feeding or your preschooler eats only a handful of foods, therapy begins by understanding the why behind the challenge.

  • A comprehensive assessment may include:

    • Oral motor examination

    • Feeding observation

    • Suck-swallow-breathe coordination

    • Positioning

    • Bottle feeding assessment

    • Clinical feeding recommendations

    • Collaboration with your pediatrician and other providers when appropriate

    45-60 minutes

  • Your evaluation may include:

    • Medical and feeding history

    • Mealtime routines

    • Oral motor assessment

    • Food repertoire review

    • Food exploration (when appropriate)

    • Sensory observations

    • Parent interview

    • Individualized treatment plan

    45-60 minutes

  • Therapy focuses on helping children develop confidence and comfort around food through evidence-based, child-centered approaches.

    Goals may include:

    • Expanding food variety

    • Improving oral motor skills

    • Increasing confidence with new foods

    • Supporting positive mealtime routines

    • Reducing family mealtime stress

    • Building independent eating skills

    50-60 minutes

  • ‘Brave Bites’ is a 6-week specialty feeding program designed to support meaningful progress through consistent, weekly participation. For this reason, families enroll in the full program rather than individual sessions.

    45-60 minutes

  • This coaching model is perfect for navigating picky eating, mealtime stress, introducing solids, transitioning from purées, utensil/cup use, creating routines, reducing pressure, food exploration, and any other caregiver questions. We’ll create a mealtime strategy, personalized plan, without the commitment to weekly therapy.

    45- 60 minutes

  • Not sure where to start? We offer complimentary phone consultations to discuss your concerns, answer questions, and help you understand how our services can support your child’s needs. This is a no-pressure opportunity to explore your options and get professional guidance.

    15-20 minutes

Rates

Speech and Spoon Therapy, LLC is a private pay practice, meaning it is NOT in network with any insurance providers at this time, including Medicaid. Due to federal and state Medicaid regulations, private-pay speech and feeding therapy services cannot be provided to individuals who have Medicaid coverage, even if Medicaid is secondary insurance.

While understand this can be disappointing, we’re happy to help families explore alternative options, including referrals to Medicaid-enrolled providers, or discussing non-therapy educational programs with us that may be appropriate for you.

Services & Rates:

  • Initial Speech & Feeding Evaluation — $250

  • Speech & Language Re-Evaluation(Annual, as Needed) — $150

  • Speech & Language Therapy(35 minutes) — $100

  • Feeding Therapy(45–50 minutes) — $125

  • Feeding Parent Coaching: Designed for parents seeking guidance with picky eating, mealtime stress, starting solids, food transitions, self-feeding, or home strategies. Parent coaching focuses on caregiver education, practical recommendations, and individualized support.

    • Virtual

      • 45-Minute Parent Coaching — $95

      • 60-Minute Comprehensive Coaching + Personalized Written Action Plan — $135

      • 30-Minute Follow-Up (Current Families) — $80

    • In-Home

      • 45-Minute Parent Coaching — $125

      • 60-Minute Comprehensive Coaching + Personalized Written Action Plan — $165

      • 30-Minute Follow-Up (Current Families) — $100

*For in-person sessions, rates include travel within 25 minutes of Rochester, NH, as well as session documentation. For towns outside of that travel radius, an additional travel charge may be added.

Accepted Payment Methods: credit card, HSA card, check.

Upon request, a Superbill can be provided for you to personally submit for out-of-network benefits.