In-Home Pediatric Speech Therapy

Your Trusted Pediatric Speech Therapist
Upword Speech Therapy is proud to be Oahu’s highest-ranked pediatric speech therapist, trusted by families and partners across Hawaii and California for thoughtful, family-centered care and meaningful results.
With every child, we focus on building connection, strengthening communication, and nurturing confidence. Caregivers consistently share that their children love coming to therapy and we believe that joy is the foundation of lasting success.
As a private, boutique pediatric speech therapist practice, we operate outside school and healthcare systems, designing care that truly fits your family. We partner closely with caregivers and collaborate with your child’s team to support meaningful progress across home, school, and everyday life.
Ready to get started or have questions? We're here to help.
Experienced pediatric speech therapists
The Upword Approach
Our work is guided by a set of core principles that shape every speech therapy session:
At Upword Speech Therapy, families can count on a stable, experienced team of pediatric speech therapists - providing the comfort of familiar faces and consistent, high-quality care. Each pediatric speech therapist brings a unique blend of background, specialty areas, and passion for helping children communicate with joy and confidence. Together, we learn from one another and continue growing as professionals and as people.
Family-Centered & Collaborative
Caregivers are essential partners in therapy. We prioritize open communication, shared decision-making, and practical strategies that carry over into daily life.
Individualized, Strengths-led Therapy
Every child is unique. We design therapy around your child’s strengths, interests, and goals, while continually adapting as they grow and progress.
Real-Life, Functional Communication
We focus on meaningful communication that supports participation at home, in school, and in everyday life, not just isolated skills.
Thoughtful, Experienced Care
Our team brings clinical expertise, ongoing professional development, and a commitment to high-quality, family-centered care.

Our Therapists, Your Partners
A Team of Experienced Pediatric Speech Therapists You & Your Ohana Can Trust
Our therapists are the heart of our practice. We invest in their well-being, mentorship, and ongoing professional growth - because when clinicians feel supported, the families we serve benefit most.
Our team culture is rooted in collaboration, respect, and a shared commitment to thoughtful, relationship-based care.
our clinicians value:
Building comfort, trust & connection with every child
Transparent & supportive communication with caregivers
Neurodiversity-affirming, child-led & strengths-based practices
Evidence-based strategies grounded in real-life contexts
Ongoing professional learning to maintain excellence
Meet the Founder
Ryanne Ziemba, M.A., CCC-SLP
Licensed in Hawaiʻi & california • ASHA-Certified Speech-language pathologist
Hi, I’m Ryanne, the founder of Upword Speech Therapy and a dedicated pediatric speech therapist on Oahu. This practice reflects the knowledge, values, and heart I’ve developed over more than 12 years of supporting children and families across healthcare, education, and private practice settings.
At the core of my work is a simple belief: when children feel safe, celebrated, and understood, meaningful progress follows.
I hold a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA) and am licensed in both Hawaiʻi and California. Before calling Kailua home, I worked with children and families across communities on both the East and West coasts - experiences that broadened my perspective and deepened my commitment to family-centered care.
Originally from Michigan, I earned my B.A. from Michigan State University and my M.A. from Wayne State University. Outside of therapy, I enjoy hiking, reading, baking, and spending time with my loved ones.

Upword Speech Therapy is the heart of my professional journey: a place where families feel supported, children feel valued, and therapy truly makes a difference. I’m honored to partner with you and be part of your child’s communication journey.
Work With A Private Speech Therapist Near You
In-Home Speech Therapists on Oʻahu
We provide in-home speech therapy where children live, learn, and play. Services are available across communities including Honolulu, Kailua, Kāneʻohe, Waimānalo, ʻAiea, Hawaiʻi Kai & surrounding areas.
In-home availability may involve a short wait depending on scheduling and location.
Virtual Speech Therapy in Hawaiʻi & California
Virtual therapy is a highly effective, research-supported option that allows families to begin services right away, without the added stress of travel or delays.
Teletherapy supports consistent attendance, strong caregiver involvement, flexible scheduling & meaningful real-world progress
