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Monday 8am - 6pm Tuesday 8am - 6pm Wednesday 8am - 6pm Thursday 8am - 6pm Friday 8am - 6pm

Loud & Clear Speech Therapy, PLLC

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United States
Lacey, WA
Loud & Clear Speech Therapy, PLLC

Gender-affirming voice therapy for any and all folks living in WA state!

Currently in-network with Premera, Regence, BCBS, and Kaiser, sliding scale available for out-of-network clients.

08/17/2025

Last month marked 3 years since I opened my private practice, so I figured it’s time for a re-introduction!

I’m Cade (they/he), a trans speech-language pathologist living in Seattle, WA and the owner of Loud & Clear Speech Therapy. I started this practice in 2022 for a lot of reasons, but the biggest one was to give myself space to practice in a way that ran counter to the way I’d seen in so many clinical spaces. Speech-language pathology can (unfortunately) be a very ableist field, and there’s a common misconception that SLPs are the ones in charge of “fixing” someone. I’ll probably talk more about this in a later post, but for now, I’ll just say that I prefer being the person giving clients the tools for their toolbox rather than insisting I have all of the solutions (spoiler: I don’t have all the solutions).

My practice has changed a lot over the past three years, and it will probably continue to change over time - just like I have! It’s gone from home visits to office visits to telehealth visits, and has worked with such a wide variety of people across the lifespan. I’m excited to see how it continues to grow, but I know one thing will remain constant - my commitment to supporting those who have most often felt unsupported in their journey.

More about me:

🧠 My areas of clinical focus are gender-affirming voice therapy and neuro-rehabilitation using a person-centered and strengths-based therapy perspective.

🍎 I've lived in Washington state (almost) my whole life, and I have no plans to leave anytime soon - I've called Seattle, Tacoma, Olympia, and Spokane all home! (Spokane for a little too long, tbh)

⭐ I've received the ASHA Award for Continuing Education (70+ hours of continuing education) 3 times... which means I probably need a new hobby.

🗣️ I've been an SLP since 2016 and I am *just* starting to feel like I know what I am doing... sometimes.

Thanks for joining along on this journey! I can't wait to see where else it goes.

02/13/2025

just a dumb little post from one trans person to the other trans people in my phone 💕 sometimes (often/always) I hate existing as a small business owner in a capitalist hellscape and then I remember I have free will and can run my business any way I want ~ and the way I want to run it is by existing in community with as many trans folks as possible and using the skills/knowledge I’ve had the privilege of acquiring to support my people. no ads or links or marketing in this post, just love and solidarity.

12/08/2024

Big disclaimer: I’m not a mental health professional, and I recommend all of my clients have an established therapist or counselor specialized in working with trans folks.

I had a client tell me this a few months ago, and it has really stuck with me. The role of counseling in gender-affirming voice therapy is often overlooked by both clients and providers new to this area of voice therapy.

It makes sense, though! Voice is such an integral part of your identity, and as folks lean into their authentic identity, there are bound to be some big questions that arise during sessions:

🏳️‍⚧️ “How can I take up space with my voice when I’m so used to living small?”

🏳️‍⚧️ “How do my perceptions and biases of masculinity and femininity influence the type of voice I want to use? What does masculinity/femininity even mean to me?”

🏳️‍⚧️ “Am I trying to change my voice because I want to, or because I feel like I have to?”

🏳️‍⚧️ “How do I practice voice embodiment when I’m so used to distancing myself from my body?”

It’s okay if you don’t have the answers to these questions, or even know where to start - that’s where working with a voice provider skilled in working with trans and gender-diverse folks comes in handy.

10/26/2024

I am so stoked to be collaborating with Becks von Duering to offer online monthly group meetups for trans and gender-diverse folks that want to practice their voice goals in a supportive and affirming environment with other folks who "get it." Each month we will focus on different topics relevant to voice, share tips & tricks, and foster a community that supports each other in our voice goals. This is going to be awesome!

Sign up at www.loudandclearspeech.com/QVC

Questions? Send me a DM or email at cade@loudandclearspeech.com

07/04/2024

I hear from a lot of people "I want to change my voice, I just don't have time right now." What a lot of people don't realize is that you can making lasting changes to your voice by practicing for just a few minutes per day - yes, really! Part of working with Loud & Clear Speech Therapy involves a customized home program to help you achieve your voice goals in 10 minutes per day, as well as suggestions to help all brain types use strategies and resources to help make voice practice easy to remember.

Interested in learning more? You can reach Loud & Clear Speech Therapy by calling or texting (360) 207-5842, sending an email to cade@loudandclearspeech.com, or visiting our website at www.loudandclearspeech.com.

02/07/2024

Being a small business owner trying to ethically navigate existing in a capitalist hellscape is brutal - ESPECIALLY in the winter time as business slows down (along with income). This is true for all small businesses, including independent and local healthcare providers. Schedules change, deductibles reset, finances are tight, and insurance companies somehow get even slower in their reimbursement - I totally get it. Luckily, there are ways to support your favorite small businesses without spending a dime!

1. LEAVE A GOOGLE REVIEW: This helps direct more traffic to small businesses and encourages new customers and clients to reach out.

2. SHARE A SOCIAL MEDIA POST: The more people know about the cool stuff a small business is doing, the more traffic they get (which = more referrals!).

3. TELL A FRIEND: Or your therapist, or your doctor, or your family member, or your colleagues, or... anyone!

Being a small business owner is challenging, AND it is one of the greatest privileges I've been able to experience in my life. Thanks everyone for the support so far - I couldn't have done it without you.

01/15/2024

Have you been thinking about voice therapy services with Loud & Clear Speech Therapy but aren't located in the greater Olympia, WA area? Not to worry! Outcomes with virtual voice therapy sessions are typically just as good as in-person sessions, and anyone who is a Washington state resident is eligible for voice therapy services with Loud & Clear Speech Therapy. Virtual voice therapy sessions are easy to schedule and allow clients to practice their voice targets from the comfort of their own home.

Want to learn more? Call/text (360) 207-5842 or email cade@loudandclearspeech.com.

01/12/2024

While Loud & Clear Speech Therapy specializes in working with transgender folks to achieve a voice more congruent with their gender identity, voice therapy is available to everyone regardless of identity!

Who might want to get voice therapy?
🔊 People who want to be able to control and change their voice in different situations.
🔊 People who feel like they have a "flat" or "monotone" voice.
🔊 People who use their voice on a daily basis and want to learn how to keep it healthy.
🔊 People who have hoarse, creaky, or dry sounding voices.
🔊 People who play Dungeons & Dragons and want to create an immersive character voice experience.
🔊 People with neurodegenerative disorders that want to maintain control of their voice for as long as possible.
🔊 People who have a hard time controlling the volume of their voice.
🔊 People recovering from intubation.
🔊 People who just want to sound more _______ [insert adjective here: confident, assertive, friendly, welcoming, sultry, etc.]

Loud & Clear Speech Therapy uses a client-led approach that allows you to be in control of your therapy goals and plan of care. If you have questions about voice therapy services, send an email to cade@loudandclearspeech.com or call/text (360) 207-5842 to learn more.

01/11/2024

Come hang out with Loud & Clear Speech Therapy and a whole host of other phenomenal providers this Saturday, 1/13 from 10am-2pm at !

Address

Lacey, WA
98503

Opening Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm

Telephone

+13602075842

Website

http://Www.loudandclearspeech.com/

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