Meet the Founder: Valcuse Delma
Two decades of practice. One unwavering focus on the patients other clinicians said were too complex to treat.

Twenty years in. One unwavering focus.
My background covers adult neurosciences rehabilitation, pediatric AAC, and dysphagia management. I have worked across care settings, from acute hospital floors where the stakes are immediate, to private practice where families have time to do the work right.
I hold a Certificate of Clinical Competence from ASHA and a Master of Business Administration. The clinical side knows what works. The business side knows how to get it paid for and what happens when families hit insurance walls.
Built to do the work that does not fit in a hospital schedule.
I founded Speech Cuse Therapy in 2026 to bring full-spectrum SLP expertise directly to families, without the waitlists or the institutional limitations that slow care down.
The office is in Yonkers, NY. The reach is national. Telehealth appointments are available Monday through Friday evenings, and Saturday mornings.
Twenty years taught and refined across three areas.
The practice is built around three things, in equal measure.
Augmentative and Alternative Communication
Devices, programming, training, long-term family support. From iPad-based apps to dedicated speech-generating devices, the work starts at evaluation and continues through years.
Dysphagia evaluation and treatment
Adult and pediatric. Stroke recovery, post-surgery rehab, pediatric feeding therapy. Coordinated with your medical team, not running parallel to it.
Teletherapy across state lines
Licensed multi-state. Sessions designed for the screen, not just translated to it. AAC, dysphagia adult therapy, parent coaching, follow-up sessions.
READY?
Your first conversation costs you nothing.
Book a free 15-minute discovery call. Tell us what's going on, and we'll tell you honestly whether we're the right fit.