Adult Speech Language Therapy
We travel to North Shore, Mid Island, & the South Shore
One of our speech therapists has an office located on 7th Avenue, New York, NY 10001.


All speech and language therapy and evaluation services take place at your Staten home, or we perform it remotely. Staten Letters is now offering an array of evaluation and treatment services, to adolescents and adults, in New York City, 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 Staten 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 communicates wants and needs, facilitating vocabulary, teaching grammar, telling stories, using social language, facilitating listening skills, and improving reading and writing skills. These problems may have started during childhood, after an illness or injury, or alongside medical conditions. The natural aging process may also cause changes in an individual’s communication skills.

Does Bruce Willis Have Aphasia?

  • Cognitive Therapy improves attention, concentration, short and long-term memory, organization, reasoning, problem-solving, mental flexibility, and reading, writing skills, etc. Cognitive communication disorder refers to difficulties in language and communication that are caused by problems in cognition. This includes concentration, word retrieval, memory, orientation, and executive functioning skills. During therapy, our speech-language pathologists (SLP) can design a treatment plan that aims to improve attention, concentration, short- and long-term memory, organization, reasoning, problem-solving, mental flexibility, reading and writing skills, and social communication.
  • Articulation Therapy improving enunciation/pronunciation. Articulation refers to the process of producing a sound, syllable, or word by using one’s lips, tongue, teeth, jaw, and palate to control airflow. Problems with articulation involve substitution, omission, distortion, and addition of sounds. Through therapy, an SLP can help an individual improve enunciation and pronunciation. Treatment is broken down into seven levels: isolation, syllable, word, phrase, sentence, reading, and conversation.
  • Accent Modification Therapy decreasing foreign accent. Our accent reduction/modification therapy focuses on improving clarity and efficiency of communication. Our bilingual speech-language therapists work with individuals to improve their intelligibility so that one’s speech is easier to understand and does not cause distraction. This can be done through a program designed to develop pronunciation and syntactic and intonation skills.

(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. Find out more about voice therapy services.
  • 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 Staten 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. We also work with individuals who struggle with executing skilled movements for speech (apraxia), unintelligible speech, aphasia, stroke, Parkinson’s disease (we offer Lee Silverman Voice Treatment LSVT / LSVT LOUD), multiple sclerosis, traumatic brain injury, vocal cord issues, dementia, Alzheimer’s, and other neurological disorders. Our speech-language pathologists can also help individuals improve their public speaking skills!

Elocution refers to one’s way or style of speech when reading aloud or speaking in public. Find out more about elocution and how Long Island Letters can help.

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


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