Speech Therapy Clinics in Richmond, VA
Speech Therapy Clinics in Richmond, VA
- 12201 Gayton Rd, Henrico, VA 23238 (serving Richmond and the surrounding West End)
- (804) 794-7337
- treehousepedstherapy.com
- Speech and language, feeding therapy, oral myofunctional therapy, and social-skills support for children birth through age 21; clinic, school/home, and teletherapy delivery
- Private pay; provides itemized receipts so families can seek out-of-network reimbursement from their insurer
- What they're known for: A West End practice that pairs speech with feeding and myofunctional therapy across a wide age range, with flexible delivery — in the clinic, in the home or school, or online — that suits families coordinating multiple needs.
- 9211 Forest Hill Ave, Ste 101, Richmond, VA 23235
- (804) 924-4047
- cfssva.com
- Speech and language, feeding and swallowing, tongue- and lip-tie evaluation, oral myofunctional therapy, and lactation support; clinic and telehealth
- In-network with Anthem, Aetna, Cigna, Humana, Sentara, Cardinal, Anthem HealthKeepers, Aetna Better Health, and Virginia Medicaid
- What they're known for: One of the few Richmond practices that ties together feeding, swallowing, tongue-tie, myofunctional therapy, and lactation under one roof — a strong fit for infants and families dealing with tethered oral tissues, and notable for an unusually broad list of accepted plans, including several Medicaid managed-care options.
- 8266 Atlee Rd, Ste 315, Mechanicsville, VA 23116 (serving Richmond and Hanover County)
- (804) 258-6371
- sunshinespeechandmyo.com
- Speech and language therapy, feeding therapy, and oral myofunctional therapy, with focused experience in childhood apraxia of speech and stuttering; clinic-based
- In-network with Anthem BCBS, Aetna, and Cigna
- What they're known for: A Mechanicsville clinic blending speech and myofunctional therapy, valued by families east and north of the city who want apraxia and fluency expertise close to home.
- 2372 Colony Crossing Pl, Midlothian, VA 23112 (serving Richmond and Chesterfield)
- (804) 659-1862
- thespeechpaththerapy.com
- Childhood apraxia of speech, articulation, autism communication support, oral myofunctional therapy, feeding, AAC, and early intervention; individual sessions, groups, and school-based services
- What they're known for: A Midlothian practice with a wide treatment menu — from apraxia and AAC to early-intervention and group programming — making it a flexible choice for Chesterfield families whose child's needs may evolve over time.
- 808 Moorefield Park Dr, Ste 105, North Chesterfield, VA 23236 (serving Richmond and surrounding counties)
- (804) 220-1080
- dynamicspeechtherapy.org
- Speech sound disorders and language delays for children ages 2–10; clinic-based and mobile
- In-network with Anthem/BCBS, Aetna, Cigna, and Anthem HealthKeepers Plus (Medicaid); private pay also accepted
- What they're known for: A North Chesterfield practice focused on early speech-sound and language goals for younger children, with both clinic and mobile options and a Medicaid managed-care plan accepted — helpful for Cardinal Care families.
- 4110 E Parham Rd, Ste 101, Henrico, VA 23228 (serving Richmond's near North Side)
- (804) 672-8588
- speechconnections.net
- Speech sound disorders, AAC, late talkers, childhood apraxia of speech, fluency, and literacy; in-person, teletherapy, and Hanen-style parent coaching
- What they're known for: A Henrico practice that leans into early-language coaching with Hanen-informed strategies, a good match for families of late talkers who want to be coached as active partners in their child's progress.
- Richmond, VA — in-home, daycare and school, and teletherapy across the metro area
- (804) 241-9126
- ignitetherapyrva.com
- Speech and language, feeding, orofacial myology, occupational therapy, and assistive technology; therapy delivered in the home, daycare, school, or online
- What they're known for: A mobile, multidisciplinary practice that brings speech alongside OT and assistive-tech support directly into the child's everyday environment — convenient for busy Richmond families and children who do best in familiar settings.
- Glen Allen, VA — mobile services across Richmond, plus statewide teletherapy
- (804) 442-6201
- playonwordsrva.com
- Articulation and phonology, childhood apraxia of speech, and reading intervention; in-home, school, and teletherapy delivery
- What they're known for: A Glen Allen–based mobile practice that bridges speech and reading intervention — a strong fit for families looking to address both spoken-language and literacy goals, with teletherapy available anywhere in Virginia.
- Richmond, VA — clinic and school-based services across the metro area
- (804) 212-8194
- talktotots.com
- Speech therapy for children 18 months to 18 years, including literacy and dyslexia support and school-based services
- What they're known for: A practice spanning toddlers through teens, with particular attention to literacy and dyslexia — useful for Richmond families whose child's speech and reading challenges overlap.
- Richmond, VA — mobile, in-home, community, and teletherapy across the metro area
- (804) 556-1515
- speakeasyrva.com
- Language disorders, childhood apraxia of speech, fluency, and social-skills support; in-home, community, and teletherapy delivery
- Private pay only; superbills provided for out-of-network reimbursement
- What they're known for: A mobile, RVA-focused practice that meets children where they are — at home, in the community, or online — with a private-pay model and superbills for families who plan to seek reimbursement from their insurer.
What Does a Speech-Language Pathologist Treat?
Three things that are often collapsed into one. Speech is the sounds — articulation, clarity, stuttering. Language is the meaning — understanding what is said, and getting ideas out, whether in words, gestures, signs or a device. Feeding and swallowing is the mouth's other job, and speech-language pathologists assess and treat that too. Most toddlers referred for speech therapy have a language question rather than a speech one, and the therapy for that looks nothing like drilling sounds.
Conditions Speech Therapy Can Help With
Speech-language pathologists work with late talking and language delay, articulation and phonological disorders, childhood apraxia of speech, stuttering and fluency, social and pragmatic communication, autism, hearing loss, augmentative and alternative communication, and pediatric feeding and swallowing. Many clinics also offer evaluations for children whose difficulty has not yet been named.
How to Choose a Speech Therapist in Richmond
The "best" speech therapist is the one who fits your child's specific needs, your schedule, and your budget. Here's what to weigh:
- Check credentials. Look for an SLP who holds ASHA's Certificate of Clinical Competence (CCC-SLP) and a current Virginia license. For specialized needs, ask about extra training (for example, PROMPT for motor-speech, orofacial myofunctional certification, or Hanen for early language).
- Match the specialty to the need. A practice that excels at feeding or tongue-tie and myofunctional therapy may differ from one focused on articulation, apraxia, fluency, or literacy. Ask whether the therapist regularly treats your child's specific concern.
- Confirm insurance and cost up front. Verify in-network status, copays, visit limits, and prior-authorization rules — or ask for a superbill if the practice is private-pay. Several Richmond clinics accept Virginia Medicaid through Cardinal Care (Anthem HealthKeepers Plus, Aetna Better Health) and TRICARE.
- Consider the setting. Some children thrive in a clinic; others do better with in-home, daycare, or school-based therapy, or teletherapy. Many Richmond providers offer more than one model.
- Ask about caregiver involvement. Strong programs coach parents so progress continues between sessions. Ask how they'll keep you involved and how they measure progress.
- Trust the rapport. Your child should feel comfortable. Many practices offer a brief consultation — use it to gauge fit before committing.
Questions to ask during a consultation
- What is your experience with my child's diagnosis?
- How will you set and track goals?
- How often will sessions be, and for how long?
- How do you involve parents?
- What happens if we don't see progress?
Speech Therapy Resources in Richmond
- Infant & Toddler Connection of Virginia (Early Intervention) Free developmental support and speech evaluations for children birth to age three, with local points of entry serving Richmond, Henrico, and Chesterfield.
- Children's Hospital of Richmond at VCU (CHoR) The region's largest pediatric system, offering speech-language evaluations, feeding clinics, and multidisciplinary care for children with complex or co-occurring needs.
- Virginia Medicaid / Cardinal Care Coverage for medically necessary speech therapy for eligible children through managed-care plans such as Anthem HealthKeepers Plus and Aetna Better Health of Virginia.
- VCU Speech-Language-Hearing Clinic A university training clinic that can provide evaluations and therapy, often at reduced cost.
- Your child's school division Richmond Public Schools and the Henrico and Chesterfield County divisions provide speech-language services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does speech therapy cost in Richmond, Virginia?
Private-pay speech therapy in the Richmond area typically runs about $100–$200 per session, with evaluations often costing more. Many Richmond providers accept commercial insurance and Virginia Medicaid (Cardinal Care, including Anthem HealthKeepers Plus and Aetna Better Health), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Several local practices are private-pay only and will provide a superbill for out-of-network reimbursement, so always confirm rates and coverage directly with the provider.
Does insurance cover speech therapy in Virginia?
Many Virginia health plans cover speech therapy when it is medically necessary, and Virginia Medicaid under Cardinal Care — including managed-care plans such as Anthem HealthKeepers Plus and Aetna Better Health of Virginia — covers speech therapy for eligible children. TRICARE also covers medically necessary speech services for military families. Coverage limits, prior-authorization rules, and visit caps vary by plan, so verify benefits before starting. Some Richmond practices are private-pay only and can provide a superbill for out-of-network reimbursement.
How long are typical speech therapy sessions?
Most pediatric speech therapy sessions in Richmond last 30 to 60 minutes, with younger children often starting at 30 minutes. Evaluations usually take 60 to 90 minutes. Frequency commonly ranges from once to twice a week depending on the child's goals and the therapist's recommendation.
At what age should my child start speech therapy?
There is no age that is too early. Virginia's Infant & Toddler Connection (the state's Early Intervention system) serves children from birth to age three, and many Richmond practices evaluate toddlers, preschoolers, and school-age children. If you have concerns about your child's speech clarity, vocabulary, or social communication, an evaluation can be done at any age.
Do Richmond speech therapists offer teletherapy or in-home visits?
Yes. Several Richmond-area providers — including Ignite Therapy Services, Play on Words Speech & Reading, Speak Easy RVA, and Treehouse Pediatric Therapy — offer in-home visits, school- and daycare-based services, and/or teletherapy across Virginia in addition to clinic-based care.
What conditions do pediatric speech therapists in Richmond treat?
Richmond speech-language pathologists commonly treat articulation and phonological disorders, language delays, childhood apraxia of speech, stuttering, social/pragmatic language difficulties (including for autistic children), feeding and swallowing concerns, tongue- and lip-tie and oral myofunctional issues, literacy and dyslexia, and they provide AAC (augmentative and alternative communication) support.
How long is the wait for a first appointment?
It varies by practice rather than by city, so it is worth asking when you call — a clinic with a long wait for weekly therapy will often book an evaluation much sooner, and some hold cancellation slots. Because of that, most families contact more than one practice on this page rather than waiting on the first. If your child is under three, your state's early intervention program runs on its own timeline and is worth starting in parallel.
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Medical disclaimer. This directory is for general informational purposes. A listing is not an endorsement, referral, or recommendation, and inclusion does not mean we have verified a provider’s credentials, licensure, or insurance. Confirm those directly with the provider before booking. DrSensory is not affiliated with the practices listed.