Talk Back Speech Therapy

Concierge, one-on-one speech-language therapy—expert, evidence-based care tailored to your individual goals, delivered in the comfort of your home.

Our Mission

We believe that the foundation of effective therapy is a genuine connection—one rooted in empathy, enthusiasm, honesty, warmth, and even a sense of humor. Working together in the comfort of your own home allows you to feel relaxed, supported, and empowered as you work toward your communication goals.

Rachel Vick, MS, CCC-SLP is the owner and lead clinician of Talk Back Speech Therapy. With over a decade of hospital-based experience in adult rehabilitation and five years of private practice experience, Rachel specializes in treating individuals with Parkinson’s disease and a range of neurological conditions, including stroke, post-COVID-19 syndrome, traumatic and acquired brain injuries, post-concussive disorders, and swallowing difficulties.

Her approach is rooted in evidence-based care, with a strong emphasis on functional, personalized treatment that supports each client’s rehab goals. By providing therapy in the comfort of your home and operating outside of the constraints of insurance, Talk Back Speech Therapy is able to prioritize high-quality, individualized care without unnecessary barriers.

What We do

Talk Back Speech Therapy provides one-on-one, in-home speech therapy services for adults in Marin County & select areas of San Francisco. Telehealth services are available to those outside the Marin/SF area. Services begin with a comprehensive evaluation, followed by a customized plan of care tailored to your specific goals and needs.

When appropriate, a combination of in-person and telehealth sessions is offered to provide flexible, consistent care.

We are currently providing in-person and tele-health appointments.

Let’s talk!

Call for a free 15 min consultation.

Certifications & Affiliations

Certifications & Specialty Skills

  • LSVT LOUD certified clinician

  • The SPEAK OUT!® Therapy Program® - Parkinson Voice Project provider 

  • SpeechVive trained clinician 

  • Modified Barium Swallowing Impairment Profile (MBSiMP) certified clinician

Professional Affiliations

  • American Speech-Language-Hearing Association

  • California Board of Speech-Language Pathology 

  • Medical Speech Pathology Council of California, member