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How much do adult speech teletherapy jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for adult speech teletherapy in the United States is $44.25, according to ZipRecruiter salary data. Most workers in this role earn between $37.74 and $50.96 per hour, depending on experience, location, and employer.

What is an adult speech teletherapy?

An Adult Speech Teletherapy job involves providing remote speech-language therapy services to adult clients via video conferencing platforms. Therapists assess, diagnose, and treat communication or swallowing disorders caused by conditions such as stroke, neurological diseases, or voice impairments. They develop personalized treatment plans, conduct therapy sessions, and track progress while working from a home or remote setting. This role requires strong communication skills, a master's degree in speech-language pathology, and necessary state licensure.

What are the key skills and qualifications needed to thrive in adult speech teletherapy?

To thrive in Adult Speech Teletherapy, you need a master's degree in speech-language pathology, state licensure, and strong diagnostic and therapeutic skills for treating adult clients. Familiarity with telehealth platforms, secure video conferencing tools, and electronic documentation systems is essential. Excellent communication, patience, and the ability to motivate and engage clients remotely make someone stand out in this role. These competencies ensure effective, accessible therapy and positive client outcomes in a virtual healthcare environment.

What are some common challenges faced in adult speech teletherapy, and how can they be managed?

A common challenge in Adult Speech Teletherapy is maintaining client engagement and building rapport through a virtual platform, which can differ from in-person interactions. Therapists may also encounter technical issues or limitations in assessing non-verbal cues and physical behaviors. To overcome these, professionals often use creative digital resources, clear communication strategies, and frequent check-ins to keep clients motivated and involved. Ongoing professional development in telepractice and collaboration with other remote team members can further enhance effectiveness and client satisfaction.

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Adult Speech Teletherapy jobs near you
Infographic showing various Adult Speech Teletherapy job openings in the United States as of August 2026, with employment types broken down into 10% As Needed, 48% Full Time, 29% Part Time, and 13% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $92,039 per year, or $44.2 per hour.

SLP-Assistant - Teletherapy - Texas Residents Only

Soundly Speaking Therapy Services, PLLC

San Antonio, TX • On-site

$35.50 - $47.75/hr

Full-time

Re-posted 28 days ago

Job description

Speech Language Pathologist-Assistant for Adult IDD clients in Texas - Teletherapy

Requirements:

  • Ability to learn on the job and have the ability to utilize and augment the materials we provide

  • Texas-issued Speech Language Pathologist-Assistant License

A day in the life of one of our therapists can look like:

  • Documenting therapy visits and contacting families and case managers to share updates 

  • Utilizing and augmenting the resources we provide to use in therapy

  • Working with clients, families, and case managers to provide high quality tailored therapy

  • Looking to hire passionate and committed SLP-Assistants who are dedicated to serving adult individuals with intellectual and developmental disabilities within Texas over teletherapy. As the #1 adult IDD therapy provider in Texas, Soundly Speaking works closely with dayhab staff and families to serve our inspiring clients ages 21 and up. 

  • Soundly Speaking provides both in-person and teletherapy services to our clients. Based on an hourly wage, we expect our SLP-Assistants to: 

  • Treat a wide range of speech and language disorders

  • Provide detailed therapy to achieve short and long term goals as part of a comprehensive treatment plan

  • Be adaptable to the circumstance and work with their supervisor and case managers

  • Turn in paperwork in a 24 hour timeline

  • Maintain confidentiality of patient records in accordance with HIPAA, State, and Federal Regulations

  • Communicate with families and case managers about the progression of therapy

-Why apply for this position?

  • The opportunity to work with amazing clients in an underserved community 

  • Changing clients’ lives by helping them find their voices

  • Occasional free access to Continuing Education Units as approved by ASHA for yearly license 

  • Be a part of a friendly and motivating work environment that wants to help you continuously learn and grow as both a professional and a therapist

  • W2 Part and Full time positions



  • Here at Soundly Speaking we believe God has called us to serve the adult IDD population, and we lead our employees with kindness and honesty. Our therapists work “To provide needed and deserved therapy to every single qualified IDD adult in Texas while providing compassion for today and hope for tomorrow”. We believe in our 5 core values: Consistently Communicate, Positively Passionate, Radically Reliable, Honorably Honest, and Contagiously Caring. Our therapists follow these values with each and every client, as well as in everyday life. 

  • If you are a creative, reliable, and motivated person please apply. Upload your application, cover letter, and resume here and we will be in contact with applicants. 

  • DO NOT apply if you do not have a valid Texas-issued Speech-Language Pathologist\ Assistant License. A valid license is obtained after completion of a Bachelor's degree in Speech-Language Pathology or Communication Sciences and Disorders, 25 Clinical and 25 Observation TDLR-approved hours are also required for a Texas license.

  • DO NOT apply if you are not comfortable working with adults in their homes and/or outside of a clinic.

If you want to learn more about Soundly Speaking Therapy Services, please visit our website at https://www.soundlyspeakingtherapyservices.comformore information, or email us at Caleb@soundlyspeakingtherapyservices.com.