Speech & Language

The Speech & Language Therapy department at Highlands provides comprehensive diagnostic and treatment services for both children and adults. 


Services include receptive and expressive language disorders, articulation and phonological disorders, motor speech disorders, swallowing disorders, cognitive or other developmental delays, oral motor and feeding disorders, aphasia treatment/post-stroke or TBI, pragmatic or social language issues, and modified barium swallow studies.

For your appointment, contact your family practice physician or pediatrician for a referral. You can also call the department directly at (606) 889-3586. Speech & Language Therapy is located on the 2nd floor of the Highlands Medical Office Building in Prestonsburg.

Speech & Language Therapists

Amber Fleming, MS-CCC-SLP, is the director of the department. A Lawrence County native, Fleming completed her Master’s in communication disorders from Eastern Kentucky University. Next, she spent 13 years as a full time Speech Pathologist in a variety of settings including public school, long term care, outpatient and inpatient rehab, acute care, and home health. She has worked with individuals across the lifespan before returning home to Eastern Kentucky because she wants to ensure that our community is receiving the highest quality of service and care.

Alyssa Holdaway, MS-CFY-SLP, is a speech therapist for the department. Joining the Highlands team from Utah, Holdaway also holds a Master’s in Communicative Disorders, accomplishing hers at Utah State. Holdaway gained experience treating children and adults in numerous settings, as well as working on advanced research projects relating to speech and language. She says she enjoys providing care that will have a lasting impact on a person’s quality of life.