Changes in the voice can signal a medical situation that needs further evaluation by a doctor. Hoarseness that persists well after a cold has resolved can be a sign of a voice disorder.



People may experience changes in swallowing for a variety of reasons. There may be a feeling of something “stuck” in the throat or there may be an increase in coughing when eating and drinking.


Accent Modification

Accents are a natural part of speech and can correspond with various regions in the United States as well as various countries.


Meet the Team

Irene Cohen

Irene has worked for more than 20 years in medical speech pathology in a variety of settings, including acute care hospitals, acute rehabilitation, outpatient services, home care and skilled nursing facilities.

Keri Vasquez Miloro

Keri has over 18 years of experience working with adults specializing in the treatment and management of dysphagia.


[I wanted] “to say thank you again for everything you've done for me. I'm doing these huge, four hour long presentations (twice a day) all over the northeast. I've been doing the presentation for over three weeks.... And I still have my voice and minimal tension [and] I owe that to you.” Melissa
“Irene gave me my voice back.  She taught me how my voice worked and how to utilize it in the best way possible so that I could continue performing in classical concerts and musical theatre productions, something that before seeing her, I thought I would have to give up.  I owe the continuation of my musical endeavors to her.” Jessica

About Us

"If all my possessions were taken from me with one exception, I would choose to keep the power of communication, for by it I would soon regain all the rest." — Daniel Webster


Cohen Speech Pathology
23 Stiles Rd. Suite 212
Salem, NH 03079
P: 603.560.0548
F: 603.546.7666

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*Images are being used for illustrative purposes only. Any person depicted in the content is a model.