How Speech Therapy Solutions Stays Reachable on Spruce
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Carrie Scott
- July 10, 2026
Tiffany Moniz founded Speech Therapy Solutions, LLC in 2020 to bring speech therapy directly to children and adults across Lancaster County, Pennsylvania, through in-person home visits and telehealth. Because the practice goes to its clients, it needed HIPAA-secure ways to stay in touch, so it runs fax, email, and messaging through Spruce, and the team’s favorite trick is scheduling a text to send at just the right time.
A bit about the business…
Founder, Tiffany Moniz, started her practice in 2020, during the pandemic, when she saw the need for in-home, outpatient services because rehab centers were severely short staffed and clients were still afraid to leave their homes.
Tiffany helps people eat, drink, communicate, and celebrate life every day. She is licensed by the board of Pennsylvania and has her Certificate of Clinical Competence from the American Speech Language Hearing Association. Her practicum experiences in graduate school included working in the acute care, inpatient and outpatient rehabilitation centers, TBI rehabilitation hospital, elementary schools, and skilled nursing facilities.
During her professional career, she gained experience working in skilled nursing facilities, personal care homes, dementia and memory support units, adult day centers, assistant living facilities, and home health. And, in 2018 she received specialized training and became certified in VitalStim® Therapy System, which is a non-invasive therapy to help swallowing through the use of Neuromuscular Electrical Stimulation (NMES).
If that weren’t impressive enough, Tiffany is also certified to administer the Brief Cognitive Assessment Tool (BCAT®) if mild cognitive impairment (MCI), memory loss, and/or dementia is suspected. She had the pleasure to work with adults with CP, MS, Parkinson’s, Primary Progressive Aphasia (PPA), dysarthria, apraxia, and dysphagia and is skilled in training residents to utilize speech generating devices (SGD) with touch screens and/or eye gaze systems.
What first brought you to Spruce?
Speech Therapy Solutions needed HIPAA-secure services to compliantly run the practice.
How do you use Spruce at work?
Here at Speech Therapy Solutions we use Spruce for fax, email, and messaging.
What is your favorite Spruce feature?
We love the ability to schedule a text message to send at a later time! In fact, we love this so much, we frequently use our work number to schedule text messages with family and friends!
What do you like to do most when you’re not working?
When I’m not working, I advocate for limb difference and those that face Proximal Femoral Focal Deficiency.
Frequently Asked Questions
Is Spruce HIPAA-compliant?
Spruce supports HIPAA-compliant communications across phone, texting, faxing, and telehealth. Every eligible Spruce organization automatically receives a HIPAA Business Associate Agreement (BAA) as part of the terms of service, with no separate agreement, opt-in, or additional fees required. You electronically agree to the Spruce BAA when you create an organization on Spruce, and you can review this agreement in our terms of service.
Can I schedule a text message to send later in Spruce?
Yes. Scheduled messages let you write a text now and have it send at a later time, which is useful for reaching clients at exactly the right moment, like a reminder the morning of a visit or a check-in after a session.
Does the practice need any phone hardware to use Spruce?
No. The Spruce web app includes softphones, so calls can be made and answered right from a phone or computer, with no desk phone or other phone hardware required.
You can learn even more about Speech Therapy Solutions on Facebook at @SpeechTS.
New to Spruce? Try it FREE for 14 days: https://l.sprucehealth.com/startspruce