Online Coaching


Speech and Voice Coaching as Close as Your Computer
Mary Spremulli, MA, CCC-SLP Licensed in Florida, North Carolina and Ohio

Telehealth and Online Coaching:
Giving You the Choice About When To Do More To Improve Your Speech and Voice.
To contact us, email and schedule a free screening. 


Frequently Asked Questions

Who Can Benefit?  Adults who have changes in their speech and voice due to various neuromuscular or neurogenic diseases like Parkinson’s disease or stroke.  Adults with voice problems from nodules or from voice misuse, or even voice changes from aging. Professionals who need to improve some aspect of speech and voice related to their employment.

How Could It Help?  Many times, when formal speech therapy ends, people have difficulty maintaining the improvements in their speech and voice or lack the motivation to practice.

Online coaching gives you a personal trainer for your speech and voice and eliminates the need to travel any further than your computer.  Speech and/or voice therapy may have been recommended in the past, but you may lack transportation or lack a facility near your home.  Online coaching may be the perfect way for you to get started.

“Training : Activity leading to Skilled Behavior.”

I Have Swallowing Problems In Addition To Speech Problems.  Can Online Coaching Help Me?  It is not unusual for people to have swallowing problems along with speech and voice changes when the cause is a neurogenic or neuromuscular disease.  If appropriate, you may be provided education and information regarding exercises and strategies that may also improve your swallowing function.  If you have already completed formal swallowing therapy, perhaps one or two online sessions will reinforce methods that were taught.

What Will I Need?  All you will need is a computer or tablet with a fast (cable) internet connection.  A free video-conferencing service like: ZOOM, SKYPE or VSee is typically used and a link to connect sent ahead of your appointment. A headset with microphone is not necessary but helpful and a quiet room in your home or office.

VS Secure Video Conferencing
(HIPPA Secure)
Skype Video Conferencing Zoom videoconferencing


Will My Information Be Shared?  HIPAA Security and Privacy Rules also apply to electronic transactions that include personal health information, and all HIPAA-covered entities are required to comply with these requirements.  Your privacy will be handled just as if I was working with you in person.  It is your responsibility to find a quiet and private room in your home or office, and to notify anyone else in that setting when you are having a private session.

Not Sure If It’s For You?  Because clinical services are based on the unique needs of each individual client, treatment over the computer may not be appropriate in all circumstances or for all persons.  Contact Voice Aerobics to schedule a complimentary 15 minute consultation.  You will be advised if you would be better served by in-person treatment.  The therapy or training objectives are based on the goals you hope to achieve by the end of training.  So, it’s important for you to think about what you are expecting to be able to do at the end of the training.  Your goalsassist me in recommending and designing the best program.

“It’s not the goal you set, it’s what you need to achieve it”

How Much Does It Cost?  Currently, telehealth/speech therapy is not reimbursed by Medicare.  Private insurers set their own guidelines for telepractice coverage, and if you have a prescription for therapy from your physician, you may want to check with your own health insurance providers to see if they have a policy regarding speech/voice therapy telepractice.  An affordable fee schedule for telehealth services and online coaching is listed below.


After you pay for your Online Coaching Session(s)
you will be directed to the Online Coaching Signup Form!

How Do I Pay For the Sessions?  An initial appointment and any subsequent sessions must be paid in advance using the online form and a credit card.  If paying online, all transactions will be processed through PayPal’s secure website.  If you prefer, you may also pay by check, however, sessions will not begin until the check is cleared.  Send checks to:  Voice Aerobics PO Box 494383 – Port Charlotte, Florida 33949-4383

Do You Have a Cancellation Policy?  Yes, 24 hours notice to cancel a session is requested.  No refunds for any missed sessions, but with 24 hours advance notice, sessions may be re-scheduled at a later time within a 30 day period.

How Often Should I Schedule A Session?  That is totally up to you and is something we will discuss after your initial appointment.  Most people benefit from 1x/week to 1x/month coaching sessions depending on their goals.

Click Here to Complete Contact Form!
Contact Mary!
American Telemedicine Association Member

Is Coaching Different From Telehealth?

Telehealth is viewed as mode of delivery of health care services, not a separate form of practice.  There are no legal prohibitions to using technology in the practice of speech-language pathology and the provider must be licensed in the state the services are being offered.  Telehealth is not a telephone conversation, e-mail/instant messaging conversation, or fax; it typically involves the application of videoconferencing or store and forward technology to provide or support health care delivery.

Does Telepractice Work?  Yes.  Since the 1990’s researchers have compared the effectiveness of telepractice and traditional on-site delivery.  Research studies clearly support telepractice as an effective method of delivering speech language pathology.  Telepractice best practices are continuing to evolve as it becomes a standard mode of delivery.  Telepractice is endorsed by ASHA and the State Board of Examiners for Speech-Language Pathology and Audiology.

“Training is about knowing where you stand (no matter how good or bad
the current situation looks) at present, and where you will be
after some point of time.”

More About Telepractice:

Telepractice is the application of telecommunications technology to deliver professional services at a distance by linking clinician to client, or clinician to clinician for assessment, intervention, and/or consultation.  It is the position of the American Speech-Language-Hearing Association (ASHA) that telepractice (telehealth) is an appropriate model of service delivery for the profession of speech-language pathology.  Telepractice may be used to overcome barriers of access to services caused by distance, unavailability of specialists and/or subspecialists, and impaired mobility.  Telepractice offers the potential to extend clinical services to remote, rural, and underserved populations, and to culturally and linguistically diverse populations.  The use of telepractice does not remove any existing responsibilities in delivering services, including adherence to the Code of Ethics, Scope of Practice, state and federal laws (e.g., licensure, HIPAA, etc.), and ASHA policy documents on professional practices.  Therefore, the quality of services delivered via telepractice must be consistent with the quality of services delivered face-to-face.