My client base is primarily comprised of adults who have survived strokes and brain trauma, or those suffering from neurodegenerative diseases such as Parkinsons and all types of dementia, as well as head and neck cancer. Individuals with other impairments are also seen. A general outline of services is listed, although is not limited to the following: *Swallowing disorders (dysphagia) are diagnosed and intervention is provided to: determine the safest diet level through guarded trials and diet adjustment, create home exercises to regain function, train and educate the client and caregivers in safe swallow practices/strategies and meal preparation, with the overall goal of reducing aspiration risk with the least restrictive diet. *Speech, language, and voice disorders are evaluated and treatment is given for dysarthria, apraxia, expressive and receptive aphasia, and voice difficulties due to neurologic involvement or head and neck surgery. Reading and writing deficits are also targeted for intervention, and augmentative and alternative communication devices created or recommended (low or high tech) for nonverbal patients, as well as training in use of voice prosthesis if appropriate. *Cognitive impairments including memory loss, problem solving/ reasoning, planning, orientation, and thought organization are evaluated and treatment is provided. Adaptive and environmental aids are created and patients and caregivers are trained in their use, such as memory books for those with Alzheimer's or other neurologic difficulties. *Hearing and visual impairments are addressed either in isolation or in conjunction with other deficits and patients and caregivers are assisted in obtaining and utilizing adaptive aids such as amplification devices, phones with special features, large print materials, or referrals are made to appropriate community resources. My treatment focuses on an individual's functional needs and abilities. Sessions are tailored to promote the best quality of life with the most realistic and attainable goals. I am compassionate and caring while having the flexibiltiy to adjust my intervention to address special issues as they arise. Counseling is provided for emotional adjustment to disability as needed using an intuitive and trusting approach. My goal with patients is to have them participate in their lives at the highest level possible with optimal success.

Maribel Serrano Holder is a speech-language pathologist in San Francisco, CA. Practice Type: clinic and home-based Practice Areas: Accent Modification, Autism & Sensory Processing Disorder, Early language development and Intervention, Feeding & Swallowing Disorders, Voice Disorders and Gender Affirming Voice Training Please contact Maribel Serrano Holder for a consultation.

Chad Kriger is a speech-language pathologist in San Francisco, CA. Practice Type: • Home Health Agency - Client's Home Practice Areas: • Speech Language Pathology • Accent Modification • Aphasia • Apraxia • Articulation and Phonological Process Disorders • Augmentative Alternative Communication • Autism • Central Auditory Processing Issues • Cognitive-Communication Disorders • Communication Improvement and Public Speaking • Fluency and fluency disorders • Language acquisition disorders • Learning disabilities • Multilingualism • Neurogenic Communication Disorders • Phonology Disorders • SLP developmental disabilities • Speech Therapy • Voice Disorders Please contact Chad Kriger for a consultation.

From laughter heard on the playground to words spoken at a business meeting, Sound Speech and Hearing Clinic's team of dedicated professionals in San Francisco aims to make every communication moment a success. Our doctors of audiology and speech language pathologists, located in the Potrero Neighborhood of San Francisco, are specialists in speech, language, hearing, hearing aids, voice, and auditory processing assessment and treatment for children and adults. Speech: Our speech language pathologists, located in the Potrero Neighborhood of San Francisco perform comprehensive evaluation and treatment of speech, language, stuttering, listening, auditory processing and voice disorders. Hearing: Our doctors of audiology located in the Potrero Neighborhood of San Francisco perform hearing tests and audiologic evaluations to diagnose a variety of hearing related disorders including conductive, sensorineural and mixed hearing loss; auditory neuropathy spectrum disorder/dys-synchrony; atresia/microtia; Central Auditory Processing Issues disorders; unilateral hearing loss; deafness; tinnitus. Auditory Processing: Our doctors of audiology and speech language pathologists, located in the Potrero Neighborhood of San Francisco, work together to diagnose and treat Central Auditory Processing Issues disorder. Contact Contact Sound Speech and Hearing Clinic's doctors of audiology and speech language pathologists to schedule an appointment for assessment or treatment of speech, language, hearing, hearing aids, listening, voice and/or Central Auditory Processing Issues disorder. Hearing Instruments Hearing aids are smarter, faster and cooler than ever. Our doctors of audiology are trained to find, select and fit premium hearing aid products by Oticon, Phonak and Starkey. Sound brings together speech, language and hearing services seamlessly into one office. Services offered include

Patricia O'Neill is a speech-language pathologist in San Francisco, CA. Practice Type: • Office Practice Areas: • Speech Language Pathology • Accent Modification • Articulation and Phonological Process Disorders • Central Auditory Processing Issues • Cleft palate • Fluency and fluency disorders • Language acquisition disorders • Learning disabilities • Neurogenic Communication Disorders • Orofacial Myofunctional Disorders • Phonology Disorders • Swallowing disorders • Voice Disorders Please contact Patricia O'Neill for a consultation.

•Caring, nurturing, and compassionate speech and language therapy in your child’s natural, home environment •Serving children of all ages between San Francisco and Redwood City •Energetic and playful therapists who exude a love for children •Parental involvement in the child’s learning process encouraged •Therapy goals tailored specifically to meet your child’s communication needs •Therapy designed with a comprehensive, well-rounded approach to teaching and learning •Experience with a variety of communication difficulties related to: Apraxia, articulation, Attention Deficit Disorder, Autism, augmentative/alternative communication, Down Syndrome, language delays, social skills, and stuttering

Ruth Donig-White is a speech-language pathologist in San Francisco, CA. Ruth works with people of all ages, preschool children through adults. She has experience and expertise in phonology/articulation, language disorders, stuttering, voice, accent reduction, accent modification, child language, articulation, adult language, motor speech, apraxia, phonological delays or disorders, auditory processing, language delays/disorders, pragmatic/social language disorders, childhood apraxia of speech, tongue thrust, central auditory processing disorders, communication, and language. Ruth is certified and licensed for individualized treatment, fluency, motor speech, articulation, and phonology. Practice Areas: • Speech Language Pathology • Aphasia • Apraxia • Articulation and Phonological Process Disorders • Central Auditory Processing Issues • Communication Improvement and Public Speaking • Fluency and fluency disorders • Language acquisition disorders • Learning disabilities • Neurogenic Communication Disorders • Orofacial Myofunctional Disorders • Phonology Disorders • SLP developmental disabilities • Speech Therapy • Voice Disorders Please contact Ruth Donig-White for a consultation in San Francisco, CA or to get more information.

Amy Roman is a speech-language pathologist in San Francisco, CA. Practice Areas: • Speech Language Pathology • Augmentative Alternative Communication • Neurogenic Communication Disorders • Speech Therapy Please contact Amy Roman for a consultation.

Speech therapy for Adults: Aphasia Dysphagia (swallowing disorder) Cognitive linguistic impairments TBI Dysarthria Parkinson's Dementia Speech Therapy for Children: Early intervention Late talkers Parent education Articulation Phonological disorders Feeding/swallowing difficulties Autism Spectrum Disorders Reading Intervention: Decoding Reading Comprehension Reading fluency Vocabulary SAT Prep