
What is a speech-language pathologist?
Speech-language pathologists diagnose and provide treatment for children and adults with a variety of speech-language, cognitive, voice, and feeding/swallowing problems.Our Team

Margaret L. Skinner, MD
Pediatric Otolaryngology

Margaret L. Skinner, MD
Pediatric Otolaryngology

Patti Caudill, MS, CCC-SLP
Speech Pathology Coordinator
Patti Caudill, MS, CCC-SLP
Member of ASHA SID 2, SID 13, National Association of Neonatal Therapists, PROMPT trained
Patti's professional interests include pediatric feeding-swallowing disorders, apraxia and other speech-language disorders, and resonance disorders due to cleft palate/velopharyngeal dysfunction. She also specializes in the rehabilitation of neurogenic speech-language and swallowing disorders. She serves as adjunct faculty at Towson University and Loyola University. Patti is a member of the Greater Baltimore Cleft Lip and Palate Team. She participates in international missions and research to develop post-operative speech-resonance treatment services to children with cleft palate in underserved areas.

Rebecca Goldstein, MA, CF-SLP
Speech-Language Pathologist
Rebecca Goldstein, MA, CF-SLP
Certified in Lee Silverman Voice Treatment, and Buteyko Breathing Method
Rebecca Goldstein is a speech language pathologist at the Johns Hopkins Voice Center specializing in voice disorders. She graduated with her Master’s degree in Speech Language Pathology from The George Washington University in Washington, DC. Rebecca studied vocal performance at the University of Maryland, as well as Theater and dance at Muhlenberg College. She was a former music elementary school music teacher and private vocal coach.

Stephanie Kwiatkowski, MS, CF-SLP
Clinical Fellow Speech-Language Pathologist
Stephanie Kwiatkowski, MS, CF-SLP
Graduated from Loyola University Maryland with her Master’s Degree in 2019. She completes speech-language and feeding/swallowing evaluations and treatment sessions at the Milton J. Dance Center for children ages 0 months-18 years.

Deirdre O'Mara, MS, CCC-SLP
Speech Pathologist
Deirdre O'Mara, MS, CCC-SLP
Deirdre’s professional interests include diagnosis and treatment of speech-language disorders in pediatrics. Deirdre is an experienced SLP, who previously worked in the public schools for many years treating pre-school and school aged children. Her expertise includes: early speech-language delays/disorder, school age speech-language disorders, and development of school based IFSPs and IEPs.

Melissa Bidlack, MS, MM, CCC-SLP
Speech-Language Pathologist
Melissa Bidlack, MS, MM, CCC-SLP
Lee Silverman Voice Treatment. Member of ASHA SID 3 and NATS.
Melissa Bidlack, CCC-SLP, is a speech-language pathologist and singing voice specialist at Johns Hopkins Voice Center. She completed her clinical fellowship at Johns Hopkins Bayview Medical Center, specializing in voice, swallowing, and neurological disorders. Ms. Bidlack received her Master of Science degree in Speech-Language Pathology from Columbia University Teachers College. She also holds a Master of Music degree from Rice University in Vocal Performance. Prior to her career in speech-language pathology, she performed as a professional opera singer and served on the voice faculty at Whitman College.
Our Team

Sabrina Alston
Administrative Surgical Posting Specialist
Sabrina is 1 of only 2 Administrative Surgical Posting Specialists at GBMC. Her role is to support Surgical Oncology patients in their journeys from Diagnosis to Surgery Day and she has over 25 years of experience in doing so. She has a very warm and inviting smile and personality that others are drawn to. She loves the interactions with our patients and is always willing to offer a kind, encouraging word, a hug or a laugh to lift their spirits.

Margaret Drexler
Senior Medical Secretary
Schedules and coordinates new and follow up patient appointments for The Milton J. Dance, Jr. Head and Neck Center and The Johns Hopkins Voice Center with telephone support. Primary registration for The Johns Hopkins Voice Center. Review of patient billing sheets, referrals, and office notes in preparation for scheduled appointments daily. Collects co-pays, processes/closes credit card payments and records patient charges.

Ewa Lesniak
Certified Clinical Medical Assistant
Ewa worked for 8 year as a registered nurse in Poland. She joined John Hopkins Voice Center at GBMC in December, 2013 after receiving the Certified Clinical Medical Assistant credential from National Health Career Association. Ewa is responsible for escorting patients, obtaining vitals, updating electronic health record, sending reports, refilling medication requests, setting up instrumentation and procedure rooms.

Susan Plunkett
Administrative Surgical Posting Specialist
Provides secretarial support for the department. Schedules and coordinates new and follow up patient appointments for The Milton J. Dance, Jr. Head and Neck Center and The Johns Hopkins Voice Center with telephone support. Primary registration for The Johns Hopkins Voice Center. Prepares and prints daily schedule and distributes to appropriate personal. Review of patient billing sheets, referrals, and office notes in preparation for scheduled appointments daily. Collects co-pays, processes/closes credit card payments and records patient charges. Participates in staff orientation and education.

April Snyder
Senior Medical Secretary
Provides front desk scheduling for the Milton J. Dance, Jr. Head and Neck Center and the Johns Hopkins Voice Center at GBMC. Responsible for registration, scheduling, and preparing all necessary information for patients appointments. Collects copays, processes/closes credit cards and records patient charges.

Krystal Wouldridge, RMA
Registered Medical Assistant
Krystal is currently a Medical Assistant for the Milton J. Dance, Jr. Head and Neck Center. She is a new medical assistant. After getting her certification in October 2018, she completed her internship at GBMC. Her duties include direct patient care, obtaining vitals, updating medical history, assisting with office procedures, processing labs and results, medication refills, monitoring patient flow, as well as administrative support to physicians and office staff.
Our Services
Speech
Children who need help with their speech development may be hard to understand. They may have trouble saying sounds and words correctly or may not be speaking at all. At our Center pediatric speech pathologists specialize in helping children with a variety of speech problems including: articulation difficulty, apraxia of speech, phonological processing disorders, stuttering, voice disorders, and speech-resonance issues associated with cleft lip and palate.
Language
Children who need help with language development may struggle with understanding spoken or written information such as directions, questions, and stories (receptive language). They may have trouble using words or symbols to communicate, using correct grammar, or may not speak at all (expressive language). Children with language disorders or delays may also have trouble with social communication (pragmatics) and have trouble interacting with others, making proper eye contact, or staying on topic. Our pediatric speech-language pathologists specialize in helping children who have language difficulty due to these communication barriers.
Feeding and Swallowing Services
What are feeding and swallowing disorders?Children with feeding and swallowing disorders may present with a variety of symptoms including:
- Refusal of different textured foods
- Prolonged feeding times
- Excess drooling or spilling of food and liquids from the mouth
- Frequent spitting up
- Wet, gurgly voice or breath sounds
- Coughing or gagging during meals
- Recurrent pneumonia and/or respiratory infections
- Slow weight gain
- Younger children may demonstrate stiffening of body, irritability, and/or lack of alertness during feeding
Evaluations
- Please complete the Speech-Language Developmental History Packet.
- Plan to arrive 15 minutes early to check-in and complete any paperwork.
- It is preferable that siblings not accompany your child to the appointment so that we can obtain your child’s full attention.
- Please bring any relevant information or documentation with you including: hearing tests, previous speech-language evaluations, educational testing, neuropsychological testing, developmental evaluations, and current or previous individualized family service plans (IFSP) or individualized education plans (IEP).
- Your child may also bring a favorite toy to the evaluation, as long as it will not be distracting from the evaluation.
- If you need to cancel or reschedule your appointment for any reason please call 443-849-2087 as soon as possible.
- Your child’s speech and language may be assessed using formal tests, observation, parent interview and play as appropriate for your child.
- Please allow 2 hours for the evaluation to be completed.
- At the end of the evaluation we will provide information about your child’s speech-language abilities and develop with you a personalized plan to address your child’s speech-language needs. This may include appropriate medical, educational, and therapy recommendations, ideas for home practice, and answer any questions you may have. A written report will be mailed to you and your child’s doctor following the evaluation.
Prior to the evaluation
Parents complete a questionnaire regarding their concerns and the child's medical, developmental, and educational history. We will request medical information from your child's pediatrician, and may also request information from other medical or educational professionals who have evaluated your child. You may be asked to keep a food diary for several days and bring this on the day of the evaluation.
During the evaluation
Your child's medical, developmental, and feeding history is carefully reviewed. Parents are interviewed regarding their concerns and the child's history. This information helps the speech-language pathologist identify areas to evaluate more closely. Your child will be provided with an age-appropriate snack (you may be asked to bring in favorite foods and feeding utensils from home). The speech-language pathologist will assess your child's oral structures and movements, sensory responses to food and touch, posture and positioning, oral movements during eating and drinking, swallowing, and behavioral responses. Parents are encouraged to observe during the evaluation.
Following the evaluation
Initial results of the evaluation and recommendations are reviewed with you (and your child if age appropriate). A written report detailing evaluation results will be mailed to your home and to your child's physician. The report will include a detailed analysis of your child's feeding/ swallowing behaviors. If your child has indications of a feeding/ swallowing disorder, an individualized plan of care will be developed with you, your child, and the physician. The plan may include recommendations for special instrumental diagnostic tests to further evaluate your child's feeding/ swallowing. Treatment varies greatly depending on the causes and symptoms of the feeding-swallowing problem.
Specialized Diagnostic Evaluation and Treatment Modalities
State-of the art diagnostic and treatment modalities are available to provide the most effective assessment and treatment to meet your child's speech-language needs. The following are available at our center: Palatography, Computerized Speech Lab, Nasometry, Ultrasound, Endoscopy, and Videofluroscopy.
Insurance
Insurance coverage for speech therapy varies with each insurance plan and group. Please contact your insurance carrier to determine your plan benefits and eligibility for outpatient speech therapy. It is recommended that you specifically ask about any plan exclusions related to speech therapy or certain diagnosis codes (provided by your therapist after the evaluation). Our insurance specialist will also contact your insurance company to verify coverage and ask about your plan benefits. However, the best information frequently comes from your direct contact with your insurance provider.

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