Adult Speech Therapy- Manhattan, Brooklyn, Queens, Staten Island, Long Island (Nassau & Suffolk), and New Jersey
We travel throughout Long Island (Nassau and Suffolk Counties) to the following neighborhoods: Mineola, Garden City, Manhasset, Great Neck, Garden City, Stewart Manor, Floral Park, Franklin Square, West Hempstead, Roslyn, East Williston, Carle Place, Westbury, Old Westbury, Mineola, Valley Stream, Rockville Center, Oceanside, Woodmere, Inwood, Long Beach, Port Washington, Roslyn, Glen Cove, Oyster Bay, Wantagh, Seaford, Massapequa, Massapequa Park, Bethpage, Hicksville, Syosset, Jericho, Plainview, Woodbury, Centereach, Farmingville, Selden, Smithtown, Hauppauge, Sayville, West Sayville, Bluepoint, Bayport, Oakdale, Bohemia, Patchogue, Medford, Port Jefferson, Port Jefferson Station, Nesconset, Setauket, South Setauket, St. James, East Islip, Hamptons, and more!!
We also travel to Hamptons (summer speech language therapy)


All speech and language therapy and evaluation services take place at your home, or we perform it remotely. Long Island Letters is now offering an array of evaluation and treatment services, to adolescents and adults, who have a variety of speech, language, cognitive, neurological, and voice challenges. Some of these underlying difficulties may be developmental in nature or may have been caused by a stroke, traumatic brain injury, disease, or other neurological conditions. We also work with those interested in modifying their foreign accent.

At Long Island Letters, we customize each speech therapy session to your specific needs and our ultimate goal is to help you maximize your best communication throughout your day.



  • Language Therapy communicating wants and needs, facilitating vocabulary, teaching grammar, telling stories, using social language, facilitating listening skills, and improving reading and writing skills.
  • Cognitive Therapy improving attention, concentration, short and long term memory, organization, reasoning, problem solving, mental flexibility, and reading, writing skills, etc.
  • Articulation Therapy improving enunciation/pronunciation.
  • Accent Modification Therapy decreasing foreign accent.
  • Fluency Therapy- helping those who stutter, clutter, etc.
  • Voice Therapy improving breath supply, volume, pitch, or decreasing nasality.
  • Swallowing Therapy help clients better manage to chew and swallow liquids through solids

(Related: Find out more about bilingual evaluation and speech therapy.)

  • Fluency Therapy– helping those who stutter, clutter, etc. Stuttering is one of the most common communication disorders that involve disruptions in the way one speaks. These disruptions or disfluencies include repetitions (repeating parts of words), stretching out sounds or prolongations, and difficulty in physically getting words out (different than word-finding) or blocks. Stuttering is developmental, which means the condition often begins in childhood. Read more about our stuttering, stammering, and fluency speech therapy.
  • Voice Therapy improves breath supply, volume, pitch, or decreasing nasality. Aside from reducing hoarseness and treating vocal fold lesions, voice therapy aims to improve vocal behavior and eliminate harmful vocal habits. It has also been shown to help lower volume, energy, and slow down the rapid rate of speech for those diagnosed with Parkinson’s disease. Our SLPs work with individuals who want to improve breath supply, volume, pitch, and decrease nasality.
  • Swallowing Therapy helps clients better manage to chew and swallow liquids through solids. Feeding or swallowing difficulties in adults are often due to muscle degeneration, medical conditions, or an injury. It is often characterized by sneezing or eye-watering, gurgly sounds, coughing when eating or drinking, and recurrent chest infections. In many cases, leaving the condition unaddressed can lead to malnutrition, dehydration, and infections. At Long Island Letters, our SLPs help individuals better manage chewing and swallowing of different types of foods, from liquids to solids.

We specialize in helping those with foreign accents, stuttering, cluttering, slurred or slowed speech (dysarthria), TMJ issues, those who struggle to execute skilled movements for speech (apraxia), unintelligible speech, aphasia, stroke, Parkinson’s disease (we offer Lee Silverman Voice Treatment), multiple sclerosis, traumatic brain injury, issues with vocal cords, dementia, Alzheimer’s, and other neurological disorders.

Get started

Before contacting us, please call your insurance company to find out if you are eligible for out-of-network (you pay us and the insurance company reimburses you) speech-language therapy and/or evaluation reimbursement. We do not accept insurance payments. For out-of-network reimbursement, see if your insurance company accepts CPT code 92507, and if they require an ICD-10 code (as of 10/1/15 ICD-9 codes can no longer be used, please refer to this link for ICD-9 to ICD-10 conversion)(furnished from an evaluation, e.g. speech-language pathologist, psychologist, audiologist, ENT, neurologist, etc). We provide evaluations (CPT code 92506). Speech-language therapy is a medical necessity when there is a significant speech-language delay and/or issue. If your insurance company requests a predetermination note, ask your physician.

We are out-of-network providers (you pay us directly). We provide you with a monthly receipt of paid speech and language therapy services; you submit this to your insurance company for reimbursement. Payment (cash or check) is expected on a weekly basis.

Public Speech Disorders

Speech Therapy

Schedule a Free Consultation Today!

Phone: (347) -394-3485

Text: (917) 426-8880

Email: longislandletters@brooklynletters.com

We are ready to help you right now!