About the practice
Personal, one‑on‑one speech therapy, all online.
Strategic Speech Solutions is a private-pay telehealth speech therapy practice based in New York, serving school-age children and adults throughout New York, New Jersey, California, and Washington.
- ASHA-certified CCC-SLP
- No waitlist
- 100% telehealth

Melisa Gaygusuz, M.S., CCC-SLP
Founder · Speech-language pathologist
Why this practice exists
Quality speech therapy, without the waitlist or the commute.
Strategic Speech Solutions was founded on a simple belief: every person deserves access to high-quality, individualized speech therapy without the waitlists, commute, or one-size-fits-all approach.
Every treatment plan is individualized and research-based, designed around each client’s real-world goals. That might mean being understood in the classroom, communicating confidently at work, or reconnecting with loved ones after a health event.
Areas of focus
What I treat
Specialized support for children and adults across a range of communication needs.
Language disorders
- Reading comprehension and vocabulary development
- Sentence structure and grammar
- Expressive and receptive language skills
Articulation & speech sound disorders
- Producing clear, accurate speech sounds
- Sound substitutions and omissions
- Being understood with confidence
Pragmatic language & social communication
- Understanding social cues and body language
- Navigating conversations with peers
- Building connection and confidence
Accent modification
- Personalized coaching for professionals
- Support for multilingual speakers
- Communicating with greater clarity
Looking for something specific? See all services.
Telehealth by design
Therapy where communication actually happens.
Strategic Speech Solutions is a 100% telehealth practice by design. Research suggests that online speech therapy can produce outcomes comparable to in-person sessions for many clients. It also removes the barriers that keep families from getting started: long waitlists, difficult commutes, and rigid scheduling.
Telehealth also means parents can join sessions whenever they like without rearranging their day, and children practice in their natural environment, which is exactly where communication skills need to work.
What sets the practice apart
Why choose Strategic Speech Solutions
One licensed clinician
All services are provided by an ASHA-certified, licensed speech-language pathologist. You see the same person every session.
Licensed in four states
Licensed in New York, New Jersey, California, and Washington.
100% telehealth
Sessions happen over secure video, from the comfort of home.
No waitlist
A private-pay practice, so there is no waitlist to get started.
Superbills provided
I provide superbills you can submit for out-of-network insurance reimbursement.
Flexible scheduling
Session times that fit around school and work, including evenings.
Ready to get started?
Schedule a free 15-minute consultation to talk through your goals and learn how speech therapy can help.