Smiling speech therapist using sign language with a young child during in-home therapy session in Harford County, MD

 Confident Communication

  Starts with Feeling

   Totally Heard

Wondering how speech therapy can help your child thrive? You’re in the right place.

Helping every child feel heard, understood, and empowered, because confident communication is a superpower.

At Totally Heard Speech Therapy, we believe in the power of play, compassion, and total communication to support your child’s growth. Whether your child is learning their first words, building social connections, or using AAC or sign language, our goal is to make every session meaningful, engaging, and fun. All children deserve to be heard, seen, and supported in the way they communicate best.

Nikki L., pediatric speech-language pathologist and founder of Totally Heard Speech Therapy in Maryland

Led by Nikki Lopez, M.S., CCC-SLP, a speech-language pathologist with over 20 years of experience and deep roots in the Deaf community, Totally Heard provides culturally informed, family-centered care. Services are offered in-person throughout Harford County and parts of Cecil County, Maryland, including Northeast, Perryville, Port Deposit, and Rising Sun, as well as virtually across the state.

Child playing with blocks while engaging in play-based speech therapy with a licensed SLP
Speech therapist supporting a child using an AAC device during a communication session

At Totally Heard, we don’t just treat speech and language, we nurture confident communicators and joyful connections. Families choose us because:

We Speak Their Language

From sign language to speech to AAC, we honor and support the communication style that works best for each child.

Real Connection, Real Progress

Therapy is built around trust, fun, and relationships, because growth happens when kids feel safe and seen. We respect your child’s sensory needs during each session.

Rooted in Experience

With over two decades in the field and a lifelong connection to the Deaf community, Nikki brings a unique perspective that empowers families of all backgrounds.

In Your Community

We offer convenient in-person sessions throughout Harford and parts of Cecil County, and virtual services across Maryland.

Inclusive and Play-Based

Every session is tailored, developmentally appropriate, and designed to bring joy and success. Sensory integration throughout the session to assist with focus.

Why Choose Totally Heard


Come to Totally Heard because you want more than therapy, you want connection, support, and a team that truly gets it.

Ready to Get Started?

Book your free consultation today. It’s a no-pressure way for us to connect, talk through your concerns, explore how I can support your child, and discuss insurance or payment options. Let’s find the right path forward together.