top of page


How long is an assessment?

An assessment takes anywhere from 1.5 to 4+ hours depending on the areas of communication development being assessed. We work diligently on planning the assessment based on the areas of concern to obtain the most relevant and meaningful data.

What if I have an assessment report with me?

Great! Bring it with you, and we will look into it together. This will help determine the best course of action for an assessment report less than a year old.

How many sessions a week will we attend therapy?

The number of sessions and length of the sessions vary according to the age of the child and the number of goals and needs to be addressed.

How long will my child need therapy?

There is no short answer to that question. Length of treatment varies greatly depending on the number of goals, the severity of the disorder, and possible co-occurring conditions. Generally speaking, a child with an articulation or phonological disorder requires 15 to 20 hours of treatment with bi-weekly 30 minute sessions, regular attendance, and consistent reinforcement between sessions. The more speech-sound errors, the longer the treatment. For children with language needs, multiple areas of need, and co-occurring conditions (e.g. cognition, ASD), the treatment takes longer and depends greatly on the number of goals.

Can I get an estimate?

Yes. You will get an estimate upon your request as required by law since January 2022. Under the 'No Surprises rules" health care providers are required to give uninsured clients or self-pay clients an estimate of the expected charges for medical services, including speech therapy services.

Click here for our No Surprises Act Disclosure: Your Rights and Protections Against Surprise Medical Bills.

Is teletherapy suitable for children?

Yes, indeed. We can offer therapy to children as young as 5 with a family member present as needed. Depending on the child's profile, they may need some support at first to navigate new expectations. All children require a family member to be in the vicinity; however, the older the child the more independent. As the child grows more independent and more comfortable, the parent may not have to be part of the therapy session but will need to be around.

How does payment work?

Payment is due at the time of service and should be made to Literally Speech directly. We accept credit card payments and Venmo. We are diligently working on accepting Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). At your request, we can provide a monthly statement (e.g. “superbill” or “paid invoice”) which you can submit to your insurance for reimbursement. We are considered out-of-network and are not affiliated with any insurance companies at this time.

Attendance Policy

Communication is key. Payment is due at the end of each session. Missed appointments and last-minute cancellations mean that another family in need of services could not be seen because time was reserved for your child. Please be conscious and considerate of this and reschedule appointments as necessary by contacting me directly. Cancelations must be made at least 24 hours prior to appointment time. No-shows and late cancellations will be charged in full.

bottom of page