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Brooklyn Letters

Google review, Brooklyn LettersBrooklyn Letters

1139 Prospect Avenue, Brooklyn

4.9 48 reviews

  • Google review, Brooklyn Letters Heather Liljengren ★★★★★ 8 months ago
    We cannot say enough good things about Effie, the ASL teacher, who was so engaged and effective with our 2 year old daughter from the very first session! Effie gladly included our whole family in the sessions! Her expertise and fantastic … More personality gave our daughter a way to communicate that she was so desperately seeking. The coordinators at Brooklyn Letters were so helpful and communicative…I would highly recommend their services!
  • Google review, Brooklyn Letters R Elmore ★★★★★ 5 months ago
    Aileen was INCREDIBLY helpful to us, both in assessing possible origins of my grandson's food aversions, as well as informing us of various available interventions to consider.
    I can’t thank you and Brooklyn Letters enough for connecting
    … More us with Aileen. In all our feeding therapy journey we have not gotten anything near the kind of benefit that we did from her. Her knowledge, professionalism, and responsiveness have put us on the path of progress with my grandson and has also made us feel genuinely well cared for.
  • Google review, Brooklyn Letters Kelley Peters-Patel ★★★★★ a month ago
    Melissa was wonderful. Our daughter warmed to her immediately and by the time she left, had already started "practicing" some of the techniques Melissa had shown her. I will not hesitate at all to reach out to Melissa again, should … More the need arise.
  • Google review, Brooklyn Letters Christine Weiher ★★★★★ a year ago
    We were amazed with Allison! She met my son at 2 1/2 years old, not speaking much at all, and over a computer, and she was able to develop a bond and friendship, so much so that he would look forward to his weekly computer time with Allison. … More I was not sure how the speech therapy would go- but we are so happy that we tried it out and continued. It allowed my son to gain confidence in his speech, make a new friend :), and also give him the skills and a bit of understanding of how to shape his mouth or where to place his tongue to make the proper sounds. We were extremely happy with Allison- she was fantastic to work with.
  • Google review, Brooklyn Letters Andrea Saffady ★★★★★ a year ago
    My sessions with Karen have been extremely helpful. My speech has improved tremendously. In fact, I just finished 2 hours of conducting interviews with a consulting client via MS Teams and I have an upcoming conference call. Both my … More neurologist and neurosurgeon remarked about how good my speech is. Much of the day it is perfect, although I still have some rough spots when I get tired or speak too quickly. One of my granddaughters is a speech pathology student at Ithaca College. She sat in on 2 sessions while she was home for winter break, and she was very impressed with Karen.
  • Google review, Brooklyn Letters Jacob B ★★★★★ 3 years ago
    We were delighted with Christie. First, and most importantly, our son made great strides under her guidance. So great, that we felt he no longer needed help! She was incredibly patient and kind with him and our son really responded to … More her. Christie was also great with me and my wife. She provided thorough and informative updates on our son's progress and which exercises she was using with him, so we could reinforce what she was teaching him. All in all, we had a fabulous experience with Christie and would highly recommend her.
  • Google review, Brooklyn Letters Jessica C ★★★★★ 6 months ago
    Theo was wonderful and his work with my son has produced some progress. I am grateful for the services Theo provided.
  • Google review, Brooklyn Letters Melissa Stevens ★★★★★ a year ago
    Highly recommend Jill. She is a total pleasure to work with. After a few months working with Jill, my son is reading above grade level and LOVES to read. Mission accomplished!
  • Google review, Brooklyn Letters Demet Evren ★★★★★ a year ago
    Paige was great and we had been really happy with her. I would highly recommend her! I recommend Brooklyn Letters to whomever asks for a speech therapist.
  • Google review, Brooklyn Letters Jeizel Rosenthal ★★★★★ a year ago
    Isabel was WONDERFUL and our son absolutely adored her, and he is making great progress with his reading and writing.
  • Google review, Brooklyn Letters Lesley Duval ★★★★★ 2 years ago
    Theo was fantastic with our 4yo son. We were very worried that his progress would fall off when we had to switch to remote sessions, but Theo kept our son happy and engaged through the screen. Highly highly recommend!
  • Google review, Brooklyn Letters Samantha Packard ★★★★★ 2 years ago
    We've been working with Theo from Brooklyn Letters for close to 4 months now and the results are apparent; our daughter has vastly improved her speech in a relatively short amount of time. We make "Theo Day" a celebration … More in our house with pancakes for breakfast, and the enthusiasm is matched in the sessions. Theo is fun, patient, professional, and caring, and he gives us the tools to take the lessons beyond the session. Thank you Theo, and Brooklyn Letters, for helping our daughter express herself.
  • Google review, Brooklyn Letters Travis Ricca ★★★★★ 2 years ago
    I worked with Alina to enhance my pronunciation, tone, and pacing while communicating socially and in a work environment. She was great to work with and clear about goals and learning objectives. The improvement from day 1 has been tremendous! … More
  • Google review, Brooklyn Letters Enrico Bermudez ★★★★★ 2 years ago
    Cathy has been excellent with us and our son. We will sorely miss her. He has improved significantly with Cathy’s help. Cathy was a true partner with us, especially as we pursued additional help through our son’s school system.
  • Google review, Brooklyn Letters Kayne Elisabeth Wilk ★★★★★ 3 years ago
    We really loved working with Alina, she is so fantastic. Patient yet firm, and determined the best course of action very clearly and succintly for us. And it all transitioned so well to Zoom as well. I will definitely be back in touch for … More services for our other child after summer break!
  • Google review, Brooklyn Letters Jen S ★★★★★ 3 years ago
    Vera was amazing! My 11 yo daughter made progress so quickly and really looked forward to her sessions. She was kept motivated and engaged.
  • Google review, Brooklyn Letters susie tofte ★★★★★ 2 years ago
    The work that Allison P. did with our daughter over the years has been invaluable to us. Our daughter had such a good relationship with Allison, and it allowed them to work really well together - even remotely these past 6 months. This … More year, Allison went above and beyond by helping us throughout the neuropsych eval we did, trying to re-open our daughter's IEP at her school, and eventually landing her at our chosen school. She was in contact with our daughter's teachers, with the neuropsychologist, and made herself available as a reference to speak on behalf of our daughter's learning differences.
    Allison stopped by our house last week to give our daughter cupcakes and say goodbye, and I literally cried with appreciation for what an amazing speech therapist she has been. She has been our daughter's biggest champion. The new families that she will work with this year are lucky to have her.
  • Google review, Brooklyn Letters Alicia Perez-Katz ★★★★★ 3 years ago
    Sydney was great! Our son was sad to end his sessions with her, which says a lot. We appreciated her honest assessment of his skill level, and he now has materials to self monitor and practice. Thank you!
  • Google review, Brooklyn Letters Kristin Ames ★★★★★ 4 years ago
    Our experience with Theo was terrific. Theo was great with my son. He developed a positive relationship with him based on sincerity, respect, trust and a deep personal connection. In their lessons, Theo was encouraging, creative and kind. … More He helped our son understand how to differentiate the sounds he made when he spoke, and gave him great exercises to practice every week between lessons. Our son was sorry to have the lessons come to an end, but recognized that Theo had helped him as much as possible and it was time for him to stop. Theo explained to him (and us) how to keep working to get the last 5%, and encouraged him to keep working on the exercises on his own. I have recommended Theo to another parent who noticed my son's improvement and inquired for her own son.
    We are all grateful to have gotten to know Theo, and we greatly appreciate all the work he did to help our son.
  • Google review, Brooklyn Letters Aisha Holder ★★★★★ 4 years ago
    "I have nothing but wonderful things to say about Michelle Macroy-Higgins. We are extremely pleased with her work with our daughter. I was so grateful for my daughter to have a speech therapist who is a researcher (specialty in late … More talkers), graduate professor and practitioner. Her expertise was clearly evident in our conversations and work with our daughter. She was very responsive to my questions and often sent articles and other materials about language development that I found helpful. Thankfully, my daughter's speech improved tremendously. Michelle developed such a warm relationship with my daughter. My daughter was always excited to see Michelle and would greet her at the door with a big hug. Lastly, I would add that Michelle always demonstrated empathy with me as a mother who was initially worried about her daughter's language development. I could go on and on about how pleased we were with Michelle's work."
  • Google review, Brooklyn Letters Andrea Peartree ★★★★★ 3 years ago
    Theo is a wonderful Clinton Hill speech therapist. We were really pleased with him. Our son showed drastic improvement, not only in his speech but in his confidence.
  • Google review, Brooklyn Letters mario costa ★★★★★ 4 years ago
    Alexa has been an enthusiastic, reliable, well prepared and caring teacher for our 6 year old daughter. She has been able to improve and increase our daughter's confidence lesson by lesson with patience and competence; through varied … More and productive didactic practice. Alexa has engaged our daughter in several activities that always kept her motivated and eager to learn literacy. My wife and I, both of us are educators, feel so fortunate to have had the opportunity to observe Alexa's pedagogical skills. Alexa has had a big impact on our daughter literacy growth. Thank you Brooklyn Letters!
  • Google review, Brooklyn Letters Lily Alt ★★★★★ 4 years ago
    We were absolutely DELIGHTED with Marsha's services. She was wonderful. We found her to be kind, fun, engaging, very knowledgeable. She provided us with clear instructions and additional written handouts each week. She engaged our … More son with different techniques and toys, and showed us how to use her techniques when we were interacting with him. I actually just texted her on Saturday - Our son finally said "more" - one of the target words we had been working on with her. It was a total joy to hear, and I had to share it with her - she wrote back immediately to congratulate us. I am so appreciative of her expertise, and wish we could have seen her for longer. I recommended her to another family in our neighborhood who is looking for a speech therapist.

Yelp (also view our 35+ filtered reviews)
Top Speech Pathologist in New York City
Battery Park City Central Midtown Chelsea Chinatown Clinton East Village Financial District Flatiron District Garment District Gramercy Park Greenwich Village Harlem Hell’s Kitchen Hudson Square Kips Bay Little Italy Lower East Side Midtown Murray Hill SOHO Sutton Place Theatre District Times Square TriBeCa Turtle Bay Union Square Upper East Side Upper West Side West Village and More!
We also travel to the Bronx, Riverdale, Westchester, New Jersey (NJ), and Connecticut (CT)


Speech Language Evaluation 1
We travel to Battery Park City, Central Midtown, Chelsea, Chinatown, Clinton, East Village, Financial District, Flatiron District, Garment District, Gramercy Park, Greenwich Village, Harlem, Hell’s Kitchen, Hudson Square, Kips Bay, Little Italy, Lower East Side, Midtown, Murray Hill, SOHO, Sutton Place, Theatre District, Times Square, TriBeCa, Turtle Bay, Union Square, Upper East Side, Upper West Side, West Village

Please note that we adhere to HIPPA (health information privacy) standards, and all confidential information can not be shared with anyone without your written consent. We also store all electronic confidential information on our HIPPA compliant encrypted email server. Our speech, language, and feeding evaluations are out-of-network and we can provide you with a superbill to submit to your insurance company.

Our Speech-Language Therapists/Pathologists are licensed in the following states:

  • New Jersey (NJ)
  • California (CA)
  • Michigan (MI)
  • Missouri (MO)
  • Washington (WA)
  • Pennsylvania (PA)
  • Idaho (ID)
  • California (CA)
  • Michigan (MI)
  • Missouri (MO)
  • Washington (WA)
  • Pennsylvania (PA)
  • Idaho (ID)
  • Maine (ME)
  • Kentucky (KY)
  • Oregon (OR)
  • Maryland (MD)
  • Washington, DC
  • Connecticut (CT)

Please note that we adhere to HIPPA (health information privacy) standards, and all confidential information can not be shared with anyone without your written consent. We also store all electronic confidential information on our HIPPA compliant encrypted email server. Our speech, language, and feeding evaluations are out-of-network and we can provide you with a superbill to submit to your insurance company.

Our Speech-Language Therapists/Pathologists are licensed in the following states:

  • New Jersey (NJ)
  • California (CA)
  • Michigan (MI)
  • Missouri (MO)
  • Washington (WA)
  • Pennsylvania (PA)
  • Idaho (ID)
  • California (CA)
  • Michigan (MI
  • Missouri (MO)
  • Washington (WA)
  • Pennsylvania (PA)
  • Idaho (ID)
  • Maine (ME)
  • Kentucky (KY)
  • Oregon (OR)
  • Maryland (MD)
  • Washington, DC
  • Connecticut (CT

We travel to:

Getting Started with us!

If the following is confusing, we will explain everything to you over the phone!

Get Started
Speech-Language Pathology

Speech Language Evaluation – If you are seeking speech, language, and feeding services, you will need to work with one of our licensed speech-language therapists/pathologists: New York State requires that you work with a licensed therapist skilled in these areas if you or your child needs help with enunciation, expressive (oral) language, receptive (auditory) comprehension, social pragmatic skills, feeding, fluency (stuttering), etc. If the individual does not need help with their oral expressive and receptive language skills or oral expressive language skills, he or she can work with one of our literacy specialists (this is different than working with a licensed therapist) if there are literacy concerns. However, some students have what is called a language disorder (expressive and/or receptive language difficulties) and these students need therapeutic literacy intervention performed by our language therapists. This might be eligible for out-of-network reimbursement. If the literacy intervention is considered language therapy, we will need the right ICD-10 code(s) to justify a language therapy approach to your child's literacy intervention. ICD-10 codes which indicate language therapy include language disorder, expressive/receptive language disorder, phonological disorder, autism spectrum, social pragmatic communication disorder, other developmental disorders of speech and language, developmental disorder of speech and language, and sometimes diagnosis such as a specific learning disorder, a specific reading disorder, or a specific impairment in written expression.

In order to start therapeutic services by our speech-language therapists/pathologists, we need written justification from NY licensed therapists or medical doctors regardless of their affiliation with Manhattan Letters. This documentation typically includes ICD-10 code(s). We will also need current goals. These goals can come from recent reports or from current professionals working with your child. If you do not have any of these codes, we can help!

At Manhattan Letters, we offer a variety of evaluations. Our speech, language, and feeding evaluations are out-of-network and we can provide you with a superbill to submit to your insurance company.  We work with all ages including:

  • Speech Disorders – These can occur when an individual has difficulty producing speech sounds and putting them together to form intelligible words. Speech disorders include articulation or phonological disorders, apraxia of speech, and dysarthria.
  • Voice or Resonance – Voice or resonance disorders refer to problems in how one’s voice sounds. One may sound hoarse, lose voice easily, talk through the nose or too loudly, or be unable to make sounds.
  • Social Communication – This refers to the social use of verbal and nonverbal communication. This includes how one communicates socially, how well one follows conversation rules and story-telling (aspect of expressive language called narratives), tells jokes, and how one speaks with different people in varied situations.
  • Cognitive-Communication – Someone with a cognitive-communication disorder may exhibit problems with organization, memory, attention, problem-solving, and other thinking skills. This can be a result of traumatic brain injury, a stroke, dementia, and may also be congenital.
  • Swallowing Disorders – Also known as dysphagia, swallowing disorders refer to difficulties in chewing, sucking, and swallowing food and liquid as a result of illness, surgery, stroke, or injury.

Speech sound development is strongly tied to the child’s expressive language abilities and toddlers who are hard to understand can be unintelligible for many reasons A delay in expressive vocabulary and a delay in stringing words together is usually accompanied by a delay in the sound acquisition and decreased speech intelligibility. Therapy typically focuses on increasing the child’s expressive vocabulary and helping the child increase the complexity of what they say. As the child’s vocabulary expands, the number and variety of sounds increase and the toddler is more understood. For toddlers with a limited sound repertoire, we teach early developing sounds to start building the foundation for learning words. Some toddlers are talkative but they are hard to understand. They may need help acquiring early developing sounds and/or eliminating atypical sound errors. Some toddlers can say a lot of words and they are well understood, but they need help using their words in the right environment. Here, the therapy focuses on social language use.


Therapy may focus on increasing the child’s vocabulary and complexity of what they say, facilitating their underlying speech development. Some preschoolers need help learning age-appropriate sounds and/or reducing speech error patterns, e.g. child says tiss, for kiss even though the child can say the k sound. Some preschoolers can say a lot of words and they are well understood, but they need help using their words in the right environment. Here, the therapy focuses on social language use.


Therapy typically focuses on teaching later developing sounds, e.g. th, l, and r, reducing sound distortions, e.g. lisp, and resolving any remaining speech error pattern(s) not exhibited by peers.

About Childhood Apraxia of Speech Language Evaluation

What is Childhood Apraxia of Speech

Childhood Apraxia of Speech (CSA) is a pediatric speech disorder. In contrast to difficulties with articulation (enunciation), a child with Childhood Apraxia of Speech cannot get their mouth movements to the right place at the right time. This will result in not only speech errors but also disruptions to the flow of speech.

Who might have Childhood Apraxia of Speech

Childhood Apraxia of Speech can occur on its own or in combination with other speech and language disorders. Often children with Childhood Apraxia of Speech have not made progress with traditional speech therapy. Some children with Childhood Apraxia of Speech make inconsistent errors when repeating the same word. Sometimes children with Childhood Apraxia of Speech may speak in a way that sounds slow or choppy.

Read about Early Childhood Developmental Milestones.

How is Childhood Apraxia of Speech Diagnosed

Childhood Apraxia of Speech is a misunderstood and often misdiagnosed speech disorder. Childhood Apraxia of Speech is difficult to diagnose because the symptoms can appear very similar to speech-language delays and other speech-language disorders, especially when a child is very young or has a limited vocabulary. There is no gold standard test for Childhood Apraxia of Speech so it must be diagnosed by careful and systematic exclusion of other highly similar speech disorders. Although there is no single test for Childhood Apraxia of Speech, the scientific literature has identified tasks that can differentially diagnose children with high accuracy. Accurate diagnosis depends on a skilled and experienced practitioner to understand and use these science-based methods. Methods for differential diagnosis of CAS from other pediatric speech sound disorders vary by the age and communication abilities of each child. Evaluations of CAS must include an evaluation of the motor speech system, examining in detail both the types and amount of sounds and syllable shapes a child has, in addition to the underlying movement patterns and overall quality of the rate, rhythm, and intonation of speech.

Apraxia Evaluation/Assessments:

  • $700-$1000 Apraxia Evaluation performed by Dr. Melissa (see below for more information). She is one of the top NYC experts on apraxia of speech!
About Infant/Toddler/Childhood Feeding

A feeding disorder can occur alongside developmental delays or medical conditions, such as autism spectrum disorder, Down syndrome, cerebral palsy, or respiratory disorders.

Young children with feeding difficulties typically demonstrate a delay in or difficulty swallowing, sucking, chewing, and display food aversions, food refusal, texture selectivity, and food selectivity. Many factors can cause a young child to become a picky eater.

Feeding therapy involves improving the child’s oral motor and underlying feeding skills and eating habits. We assess the child’s sucking, swallowing, chewing patterns, diet, behavior, and the home environment during meal time. Once we pinpoint the underlying problem(s), we create a family treatment plan. Some children require additional one-on-one feeding therapy, and we demonstrate to the parent how to tackle their child’s feeding or eating delay.

Click here to know more about our Infant/ Toddler/ Childhood Feeding Therapy

Literacy Tutoring

For literacy tutoring by our literacy teachers, a non-therapeutic service, we need up-to-date goals. Literacy tutoring performed by our literacy specialists is not eligible for insurance reimbursement.

If the literacy intervention cannot be justified by an ICD-10 code (see above), the literacy intervention is considered educational and can be performed by our literacy teachers. New York State believes the ICD-10 code for dyslexia is educational (learning) and not as a Communicative Disorder, e.g. Language Disorder. One day New York State will update their position on dyslexia. Please note that most neuropsychological evaluations do not include decoding and encoding (spelling goals); they mention the need for decoding and encoding intervention. If literacy goals are not included in the neuropsychological evaluation, our first session(s) will include creating these goals. Also, many schools use their methods or commercialized products for creating literacy goals. Unfortunately, some of these tools are not up-to-date with current scientific standards (it's Corporate America ). Fortunately, we use up-to-date assessment tools to reliably identify where your child needs help. Overall, you are in good hands with us, and we will guide you along the way!

If you have up-to-date evaluations/assessments and goals, you can most likely skip reading the rest of this page.

If you are not interested in our intervention services but just need an assessment/evaluation/consultation, we also offer evaluation services!

Phone and Remote Consultations

$150-$200: We offer remote and on-the-phone consultations. Consultations are appropriate when you are not ready for an evaluation/assessment (see below).

Get Started
TIER 1 EVALUATIONS & ASSESSMENTS (Home, School, English, Multilingual) Performed by Licensed Speech-Language Pathologists/Therapists

English Home Based Evaluations and Assessments:

TIER 1 and TIER 2: $175-$1000 (See below).

English Office-Based Evaluations and Assessments

TIER 1 and TIER 2: $300-$1200 (See below).

Please note that we can rent space throughout NYC to accommodate evaluations and assessments since we are not a brick and mortar company.

Bilingual/Multilingual Assessments TIER1 AND TIER2 Home and Office-Based:

Bilingual/multilingual evaluations are billed at a higher rate than monolingual English evaluations and assessments. Bilingual/multilingual in-home and at-school evaluations/assessments are usually marked up an additional 30 to 50% due to the additional work required to assess more than one language. Office-based bilingual/multilingual evaluations and assessments are an additional cost due to the expenses of renting space.

Speech Language Evaluation includes at least a one-hour in-home or at school visit where we ideally meet you and your child, review previous reports, testing, etc., and within ten business days, a 1.5- to 3-page report with professional impressions, recommendations, and goals (if services are recommended) are produced. This report can be presented to private schools and professionals outside of Manhattan Letters. It cannot be used for IEPs (see TIER2). It helps establish the need for significant but mild articulation and expressive language therapy and for updating current therapy goals.

Articulation/Enunciation/Speech Sounds (ages 3+ only if the individual exhibits difficulties with a few age-appropriate speech sounds): $175-$250

Mildly Delayed Expressive Language (babies-47 months): $200-$300. Three-year-old children with expressive language delays might qualify for a TIER2 evaluation depending on several factors to be discussed by one of our speech pathologists over the phone (free).

Articulation and Expressive Language Concerns: (one visit, babies-47 months) $300-$450. Three-year-old children with moderate to severe expressive language delays will most likely require a TIER2 evaluation depending on several factors to be discussed by one of our speech pathologists over the phone (free).

Social Skills Assessment (18-47-month-old children): $150-$200 We use a standardized empirically validated parent-report questionnaire to help assess pragmatic language development in 18- to 47-month-old children. This assessment helps identify children with delays in pragmatic language development (i.e. the use of language in a broad variety of everyday settings and in interaction with other people) compared to children of the same sex and age in months; to identify children whose expressive language skills should be further evaluated with a comprehensive speech and language assessment. We mail you the questionnaire, you fill it out, mail it back to us and we score it, provide you with the results, and schedule a 30-minute phone consultation.


We can furnish an ICD-10 code for insurance purposes with a TIER1 Evaluation if the child has articulation difficulties that are not normal for his or her age or if the child has a significant expressive language delay or disorder. We are out-of-network providers and do not accept any third-party payments, but you may be entitled to reimbursement under the out-of-network provisions of your insurance policy.

Please note that a TIER2 Evaluation is recommended for the following circumstances:

When there are significant moderate to severe early language and communication delays (0-36 months).

If the articulation concerns involve more than a few age-appropriate speech sound errors (ages 3+).

If your child is 3 years old and has significant moderate to severe expressive language delays.

If your concerns involve receptive language or literacy (any age).

If your child is greater than four years of age and has delayed language development.

Free Phone Consultation

If you are interested in a private evaluation or assessment, you will speak with a licensed speech-language pathologist on the phone for free to help best determine if your child should be considered for a TIER1 or TIER2 evaluation/assessment.

TIER 2 SPEECH LANGUAGE EVALUATION & ASSESSMENT (Home, School, English, Multilingual) Performed by Licensed Speech-Language Pathologists/Therapists.

$250-$1000* TIER2 Evaluations are more comprehensive than TIER1 Evaluations and include literacy evaluations performed by licensed language therapists. TIER2 evaluations are perfect for private CPSE and CSE evaluations. A TIER2 Evaluation is recommended when a child has more than a few speech sound errors that aren t appropriate for his or her age, and there are significant concerns related to understanding and using oral and written language, particularly when the child is 48 months and older.

  • $300-$500 for Moderate to Severe Early Language and Communication Skills (0-36 months)
  • $300-$500 for Articulation/Enunciation/Speech Sounds (3 years and up) when the individual is having difficulties with more than a few age-appropriate sounds
  • $700-$1000 Apraxia Evaluation performed by Dr. Melissa (see below for more information)
  • $300-$500 for Fluency/Stuttering (2 years and up)
  • $300-$500 for Early Literacy Skills (4-6 years and up)
  • $300-$600 for Literacy (Written Language – Reading and Writing)
  • $300-400 for Expressive Language (3 years and up)
  • $400-$800 for Expressive and Receptive Language (3 years and up) for students who need their receptive language evaluated and have significant expressive language delays.
  • $400-$500 for Expressive Language and Articulation (3 years and up)
  • $500-$800 for Expressive and Receptive Language, Articulation (3 years and up)
  • $800-$1200 for Expressive and Receptive Language, Literacy, and Articulation (4 years and up)

All of our TIER 2 Evaluations occur over one visit at a quiet space in your home. If you are interested in office space, see below. These visits are 1-3 hours long, and your child will be given breaks. Occasionally, a child is unable to complete the testing with the appropriate amount of time allowed for assessments. We reserve the right to charge an additional $150 fee to schedule a follow-up appointment to complete the testing when these circumstances arise.

TIER2 Evaluations include a 2 to 10-page report (higher costing evaluations result in extended reports and visa versa), including professional impressions, recommendations, and goals. Please allow us up to 10 business days to produce the report. If you need the report in less than ten days, it can be expedited for a fee of $100-$200 depending on how quickly you need the turnaround. For higher costing evaluations ($600 and up), we might require additional time to complete the report (10-15 business days). Results are discussed over the phone or in-person if the data is scored at the time of the assessment. If a parent requests a follow-up meeting to discuss the results in person, this will be billed at the professional s hourly rate.

We can recommend and start intervention before the report is finished because we will know directly after or soon after the evaluation if intervention is warranted and will be able to establish goals. These two essential pieces can be figured out before the report is submitted to you. With your permission, we can share this information with a 3rd party.

ICD-10 codes are furnished if the individual has a significant delay or a disorder. We produce speech and language disorder ICD-10 codes. For an ICD-10 code related to literacy or a learning disorder, e.g., dyslexia, we recommend that you follow up with additional testing performed by a licensed NY State neuropsychologist. We have many great recommendations!

*Office-Based Assessments: Please note that we can rent space throughout NYC for an additional fee. Please note that office-based assessments are billed at higher rates, e.g., $20-40 more per hour to cover our rental expenses.

*Bilingual/Multilingual Assessments: Bilingual/Multilingual evaluations/assessments are usually marked up an additional 30 to 50% due to the additional work required to assess more than one language.

CPT Codes for Speech-Language Pathology

92507: One-on-One Speech-Language Therapy
92508: Group Speech-Language Therapy
92610: (Feeding/Swallow Evaluation)

95: is a modifier for telepractice, and the CPT code, e.g. 92507 or 92508 stays the same. CPT 95 is for reporting telepractice-related services e.g. synchronous telemedicine service rendered via real-time interactive audio and video telecommunication systems.

If insurance asks for a place code it’s (POS) 12 for home-based services and (POS) 11 for office-based services.


92521: Evaluation of Speech Fluency
92522: Evaluation of Speech Sound Production
92523: Evaluation of Language Expression and Comprehension and Speech Sound Production
92524: Behavioral and Qualitative Analysis of Voice and Resonance

ICD-10 Codes

F84.0: Autism Spectrum


F80.1: Expressive Language Disorder
F80.2: Mixed Expressive Receptive Language Disorder & Social Communication Disorder
F80.9: Language Disorder/Developmental Disorder of Speech and Language
F80.82: Social Pragmatic Communication Disorder
F80.89: Other Developmental Disorders of Speech and Language

R48.8: Language Deficits Related to an Organic or Medical Condition. Other Symbolic Dysfunctions, such as Auditory Processing Disorder, cognitive language disorders, and executive function impairment due to organic or neurological conditions.


315.2 Unspecified Specific Learning Disorder
F81.0 Specific Reading Disorder/Specific Learning Disability with Specific Impairment in Reading Comprehension
F81.1 Specific Impairments in Written Expression: Spelling, Clarity and Organization of Written Expression

*Please note that each State defines the definition of Learning Disorders and Language Disorders. The State’s definition might not be in accordance with the definition defined by the American Speech Hearing Association (ASHA).


F80.0: Phonology/Articulation Disorder
R47.1: Dysarthria and Anarthria
R48.2: Apraxia

*There is no specific code for oral motor related issues

Hearing Loss

F80.4: Speech and Language Development Delay due to Hearing Loss

Central Auditory Processing Disorder

H93.25 and additional codes

Schedule a Free Consultation Today!

Phone: (347) -394-3485

Text: (917) 426-8880


We are ready to help you right now!