In 2006, The Visiting Nurse Service of New York piloted the Speech Telehealth Program in Manhattan. Since the inception of the program, more than 200 patients with speech-related difficulties have been treated through telepractice sessions. The program has managed to treat diverse patients, with conditions ranging from post-stroke communication disorders and neurogenic dysfunctions to Parkinson’s disease and aphasia. The advantage of using telepractice technology is that each therapy session can be designed to meet the individual needs of the patient. For instance, telepractice makes it possible for SLPs to give Lee Silverman Voice Treatment, an intense treatment that typically requires four treatment sessions a week. Patients gave the Speech Telehealth Program very favorable ratings: on a scale from 1 (lowest satisfaction) to 5 (highest satisfaction), results ranged from 4.2 to 4.8.