Voice is the primary clinical focus of Three Rivers Voice and Speech Services. Services are tailored to the individual needs of each client, whether you rely on your voice professionally, are experiencing vocal changes or a voice disorder, or are navigating voice changes related to a neurological condition.
Services for singers, actors, musical theater performers, teachers, and other professional voice users. Therapy may address vocal efficiency, endurance, vocal fatigue, vocal strain, and the demands of using the voice professionally.
Individualized therapy for concerns such as dysphonia, vocal fatigue, vocal strain, changes in vocal quality, and inefficient voice use. Treatment is tailored to each client's voice, needs, and goals.
Voice and speech tehrapy for individuals experiencing communication changes related to neurological conditions, including Parkinson's disease. Services include LSVT LOUD® and support for dysarthria (slurred or unclear speech) to improve speech clarity and everyday communication.
Fluency therapy provides individualized support for people who stutter and others experiencing fluency-related communication challenges. Therapy focuses on communication effectiveness, confidence, and helping each client communicate in ways that feel comfortable and authentic to them.
Stuttering and other fluency difficulties
Communication confidence and participation
Speaking comfortably in social, academic, and professional settings
Strategies for navigating challenging speaking situations
Individualized goals based on each client's communication needs
Cognitive-communication therapy provides individualized support for communication challenges related to memory, attention, organization, problem-solving, and other thinking skills. Therapy focuses on practical strategies that help clients communicate more effectively and manage everyday communication demands.
Memory and recall difficulties
Attention and concentration
Organization and planning
Problem-solving and executive functioning
Finding and organizing words and ideas
Communication changes following neurological injury or illness
Strategies for managing everyday communication demands
In addition to my primary clinical interests, I provide individualized speech-language services for a range of communication needs. Services may include assessment and therapy for speech, language, and other communication concerns, depending on each client's needs and goals.
If you're unsure whether your communication needs are a good fit for therapy, you're welcome to reach out to discuss your concerns.
Three Rivers Voice and Speech Services is a private-pay practice. Payment is due at the time of service.
Initial Voice Evaluation — $350
Approximately 60–75 minutes
A comprehensive clinical evaluation for individuals experiencing voice concerns, including singers and other professional voice users. The evaluation is designed to understand the individual's voice, vocal demands, and communication needs and to determine appropriate treatment recommendations.
Individual Voice Therapy — $150
50-minute session
Individualized voice therapy for individuals experiencing voice concerns or voice disorders. Treatment is tailored to each client's voice, goals, and communication needs.
Therapy may address:
Vocal fatigue
Dysphonia and changes in vocal quality
Vocal strain and inefficient voice use
Resonance and vocal efficiency
Respiratory-phonatory coordination
Vocal endurance
Vocal projection and clarity
Healthy and sustainable voice use
Carryover of therapy strategies into everyday communication
Professional Voice Consultation — $165
60-minute session
Specialized consultation for singers and other professional or high-demand voice users who want individualized guidance related to their voice. A formal clinical voice evaluation is not necessarily required for this service.
Consultation may address:
Vocal demands and vocal load
Vocal efficiency and endurance
Speaking and performance voice demands
Healthy and sustainable voice use
Strategies for managing vocal fatigue
Balancing speaking, singing, and other voice demands
Performance-related voice concerns
Strategies to reduce vocal overuse and strain
Initial Parkinson's / LSVT LOUD® Evaluation — $350
Approximately 60–75 minutes
A comprehensive evaluation of voice, speech, and functional communication for individuals with Parkinson's disease and other appropriate neurological conditions.
The evaluation may include assessment of vocal loudness, speech intelligibility, communication effectiveness, and functional communication needs. Recommendations for individualized treatment will be provided based on evaluation findings.
LSVT LOUD® treatment is provided when clinically appropriate.
Parkinson's Voice Treatment / LSVT LOUD® — $165
60-minute session
Individualized treatment for individuals with Parkinson's disease and other appropriate neurological conditions experiencing changes in voice, speech, or functional communication.
When clinically appropriate, treatment may include the LSVT LOUD® protocol, an intensive voice treatment program designed to improve vocal loudness and support carryover into everyday communication.
Treatment may address:
Vocal loudness
Speech clarity and intelligibility
Communication effectiveness
Self-monitoring and awareness of vocal effort
Carryover of treatment strategies
Functional communication with family, friends, and the community
Individual Speech-Language Therapy — $95
30-minute session
Individual Speech-Language Therapy — $150
50-minute session
Individualized telehealth services for children, adolescents, and adults with a variety of communication needs.
Services may address:
Speech sound production and intelligibility
Language and communication
Fluency and stuttering
Motor speech
Cognitive-communication
Word retrieval
Other speech-language needs when appropriate for telepractice
All services are provided through secure telehealth technology. Telepractice offers convenient access to individualized speech-language services from the comfort and privacy of your home or another appropriate location.
Services are provided when telehealth is clinically appropriate for the individual client.
Three Rivers Voice and Speech Services is a private-pay practice and does not bill insurance directly. Payment is due at the time of service.
For clients with out-of-network benefits, a superbill may be provided upon request for submission to your insurance company. Reimbursement is not guaranteed and depends on your individual insurance plan.
Clients are encouraged to contact their insurance company directly before beginning services to confirm whether their plan provides out-of-network speech-language benefits, whether a referral or other documentation is required, and how to submit a superbill for reimbursement. Three Rivers Voice and Speech Services cannot guarantee insurance coverage or reimbursement.
Services may be eligible for payment through a Health Savings Account (HSA) or Flexible Spending Account (FSA)depending on your plan. Clients are encouraged to check with their plan administrator to confirm eligibility.
A Good Faith Estimate will be provided as required for uninsured, self-pay, and other applicable clients.