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Accent Modification

Accents are a natural part of spoken languages. No one accent is better than another. It is important to know that accents are NOT a speech or language disorder.  Accents can sometimes make it hard for you to talk with other people. People may not understand your accent. You may get frustrated because you have to repeat yourself a lot. People may focus more on your accent than on what you say.  With hard work and practice, you can learn how to change the way you say words. Changing your accent is also known as accent modification. 


How well we understand what we hear or read and how we use words to tell others what we are thinking.  In adults this problem may be called aphasia.

Gender Affirming

Gender-affirming Voice and communication change for transgender and gender-diverse People.  You may feel that your voice does not represent who you are. You may want to change the way you speak so that your voice or communication style is more aligned with your gender. There are different options that may help you with this.  

Cognitive Communication

How well our minds work. Problems may involve memory, attention, problem solving, organization, and other thinking skills.

Feeding &

How well we suck, chew, and swallow food and liquid. A swallowing disorder may lead to poor nutrition, weight loss, and other health problems. This is also called dysphagia.


Veterans may experience unique communication challenges including Concussion, Mild Traumatic Brain Injury (mTBI), and memory loss.


How well we read and write. People with speech and language disorders may also have trouble reading, spelling, and writing.


Also called stuttering, is how well speech flows. Someone who stutters may repeat sounds, like t-t-t-table, use "um" or "uh," or pause a lot when talking. 


How our voices sound. We may sound hoarse, lose our voices easily, talk too loudly or through our noses, or be unable to make sounds.

Businessman Holding a Tablet

Augmentative/Alternative Communication AAC


Throughout the health care continuum, a variety of AAC-oriented treatment strategies can enhance communication  for people of all ages.  

Forensic and expert witness services

Forensic and expert witness services are considered on a case by case basis.  Please contact us for a consultation to discuss your needs.

Mrs. Fleming always takes a practical approach to treating her patients.  Countless service members and their families are forever grateful for her care.

Oliver B.

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