Speech · Language · Communication

Where Every
Voice Takes Root

Compassionate, evidence-based speech and language therapy nestled in the heart of New England's mountains and forests.

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Now Accepting NH Medicaid — Making quality speech therapy accessible to every family.
NH Education Freedom Account (EFA) Provider — Proudly serving homeschooled children through the EFA Program.
Monadnock Speech and Language
Rolling hills and gentle mountains of the Monadnock region in summer

Sarah Bailey, M.S., CCC-SLP

About

A New England Native,
Devoted to Every Voice

M.S., CCC-SLP ASHA Fellow AAC Specialist DIR/Floortime

I'm Sarah Bailey, a licensed speech-language pathologist with over fifteen years of experience helping people communicate with confidence and joy. A New England native who recently returned to her roots after a successful career in Maryland, I founded Monadnock Speech and Language to bring that depth of experience home — to the people and communities I've always loved.

During my time in Maryland, I worked extensively within the Howard County and Baltimore City school districts, supporting students across a wide range of communication needs and backgrounds. Those years sharpened my skills, deepened my empathy, and reinforced my belief that every child deserves a voice that is heard.

Now rooted in the hills of southern New Hampshire, I serve clients throughout the Monadnock region, Concord, and Manchester, with telehealth available across all of New England for those who need the flexibility.

Sarah Bailey
Sunlit forest path through New England woods in summer
White Mountain National Forest, NH
Green mountain summit view in New England summer
Monadnock Region, NH
Tall pine trees in Maine summer forest
Maine North Woods
Vermont Green Mountains summer forest trail
Green Mountains, VT
Services

How I Can Help

Comprehensive evaluation and therapy services tailored to each child's unique needs, goals, and pace. No two journeys sound alike.

Early Language Development

Supporting children ages 12 months through age 5 in building vocabulary, sentence structure, and the joy of communication. Parent coaching woven throughout.

Ages 12 mo – 5 yrs

Articulation & Phonology

Helping children speak clearly and confidently. I address sound errors and phonological patterns with a playful, judgment-free approach that keeps kids engaged and motivated.

Ages 2 – 12

Fluency & Stuttering

Evidence-based therapy for children who stutter or clutter. I take a holistic view, building both technique and the confidence children need to communicate freely at school and at home.

Ages 3 – 18

Augmentative & Alternative Communication (AAC)

Expertise in low- and high-tech AAC systems to help nonspeaking and minimally verbal children find their voice, connect with others, and participate fully in school and life.

All Ages & Abilities

School-Age Language & Literacy

Supporting children in kindergarten through middle school with reading comprehension, written expression, vocabulary, and the language skills that underpin academic success.

Ages 5 – 14

In-Home Services

Therapy delivered in the comfort of your own home, where children feel safe, relaxed, and ready to learn. Serving families throughout the Monadnock region, Concord, and Manchester.

All Ages · Monadnock · Concord · Manchester
My Approach

Therapy Grounded in
Science & Warmth

Every child I work with brings a unique set of strengths, experiences, and a communication profile all their own. My job is to understand that profile deeply — and to build a therapy plan that is both rigorously evidence-based and genuinely fun.

I draw on established frameworks including the PROMPT approach for motor speech and play-based intervention models. I use play, movement, and a child's own interests to make every session something they look forward to.

Progress happens fastest when families are partners. I coach caregivers throughout, sharing strategies and home activities so that growth continues long after our session ends.

01

Evidence-Based Practice

Every technique I use is grounded in current peer-reviewed research, continuously updated as the field evolves.

02

Individualized Goals

Goals are set collaboratively with clients and families, reflecting what matters most in their daily lives.

03

Family Partnership

Caregivers are active participants. I provide coaching so that progress extends well beyond our sessions.

04

Child-Centered Care

Kids thrive when therapy meets them where they are. Every plan is built around a child's interests, learning style, and what matters most to their family.

Panoramic summer view of New England mountain range covered in green forest

"A New England native, serving the hills and valleys of home"

FAQ

Common Questions

Do you accept insurance?

I am an out-of-network provider. I provide detailed superbills that many families use to seek reimbursement. HSA and FSA accounts are welcome.

How do I know if my child needs speech therapy?

If you have concerns about your child's speech or language, a free consultation is the best place to start. Early intervention makes a meaningful difference.

How long does therapy typically last?

Every client is different. Some reach their goals in a few months; others benefit from longer support. We'll discuss realistic timelines at your initial evaluation.

What is a free consultation?

A 20-minute phone or video call to discuss your concerns and goals — a low-pressure way to see if we're a good fit before committing to a full evaluation.

Where are you located?

My practice serves families throughout the Monadnock region, Concord, and Manchester with in-home therapy sessions. I also accept NH Medicaid and participate in the NH Education Freedom Account (EFA) Program for homeschooled children.

What ages do you work with?

Monadnock Speech and Language specializes exclusively in working with children from 12 months through middle school age. At this time, we do not provide services for adults. If you are seeking speech-language therapy for an adult, we are happy to help point you toward appropriate resources in the region.

Get in Touch

Begin Your Journey

I'd love to hear from you.

Office
21 Valhalla Farm Road
Hillsborough, NH 03244
Phone
(207) 279-9304
Email
info@monadnockspeech.com
Office Hours
Mon–Thu: 8am – 6pm
Fri: 8am – 2pm