“As a Vocal Therapist I treat mainly injured Singers, but other voice professionals and non-voice professionals as well,” says Amy Chapman, a Los Angeles-based Voice Therapist and Performance Specialist. “I am technically a Speech-Language Pathologist with a specialty in voice. I work with ENTs (Ear, Nose and Throat doctors), Laryngologists, Voice Coaches and Teachers.”

This work consists of individualized programs created by the Voice Therapist and his or her colleagues based on each client’s different circumstances and health issues. Their goal is to help the patient recover from vocal damage and to make positive lifestyle and/or vocal behavior changes. They do this through exercises designed to stop harmful vocal behavior and improve vocal health.

On average, Voice Therapists earn approximately $43,800 annually. The salary range for Voice Therapists runs from $31,000 to $64,000.

Voice Therapists earn income in two different ways: per patient, and by a regular salary. Chapman explains, “It all depends on where you work and who you are working for— there are perks to both, and negatives to both. If you want freedom, choose paid per patient. If you want security, go for the salary.”

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Voice Therapists typically work a regular weekly schedule with set office hours.

“I see most of my patients in the office, but do plenty of on set/studio work or get flown out for performances or tours,” Chapman says. “It is important to keep an office and semi-regular hours for your patients who need regular support, as much fun as the touring sounds.”

She said it’s a good idea to ask yourself how hard you’re willing to work to succeed, and why you want to get into this career.

“I have a lot of horror stories while I was trying to build up my practice and skills,” she said. “But if [you] are set on it, I’d say to learn everything [you] can about the voice and read up on all the old and latest literature to stay up to date.”

Voice Therapists begin their careers as graduate students in speech pathology. Before graduation, they must complete an externship or fellowship in a local outpatient clinic or hospital. Further study is needed to become a Voice Therapist, which is more specialized.

After landing a gig as a Voice Therapist, advancement comes as the practitioner gains experience; more years on the job equals higher salary. Those who work in outpatient clinics or offices can also earn higher wages by seeking employment in hospitals. After an extensive period of time in the field, some Voice Therapists may choose to seek roles in policy or administration by working as a Manager or Director of Rehabilitation.

However, there is limited potential for career growth beyond the role of Voice Therapist, apart from increased wages.

After putting in the hours towards their graduate degree and completing their externships or fellowships at local clinics, how can an aspiring Voice Therapist land their first job?

Chapman says, “Luck? Unfortunately, this is a very small niche [with] not much demand. After finishing school I did an extra fellowship where I really honed my skills as a Voice Therapist. However, I had to do plenty of non-voice related therapy before I got up and running.” Therefore it’s important to get as much real-world experience as possible and be aware that it can take time to build a career in voice therapy.

• Start taking an undergraduate class in Communication Disorders and Anatomy. There is so much about anatomy and physiology that people tend to overlook, but I’d say the most important part of my job is knowing how the human body works.
• Go to a local university that has a Communication Disorders major and ask to sit in on some classes or therapies. See if you like it first before putting in five years of schooling!

Like most Voice Therapists who focus on the special health issues affecting Singers, Chapman began her career as a performer.

She says, “I started in musical theater and got my undergraduate degree from UCLA in Musical Theater. I toured, performed, and really understood what it meant to be a professional Singer before I went back to school for Speech-Pathology. It’s very important to know what a day in the life looks like on tour, on set, or in a recording studio since most professional Singers injure themselves when working.”

Voice Therapists must be compassionate and adaptable. After all, what works for one patient may not work for another. Chapman says, “It’s important to be very understanding when working with Singers. The tiniest glitch in one Singer’s voice will affect his or her performance in many ways. It might seem so unimportant to you, but it can easily be a career breaker for them. You also need to be creative. [When] working with creative people you need to be able to understand them.”

And sometimes, she said, it’s okay to go off book and do what’s best for the client in front of you.

“If you look at a book to see what therapies or exercises would be right for someone with a particular disorder, you are going about it all wrong,” she said. “You need to feel each individual person out to get a sense of what they need. It’s very individual. There is no formula.”

Chapman advises, “I recommend having a solid education in not only the pre-reqs for Speech Pathology — which is [an undergraduate] major in Communication Disorders, and a masters in Communication Disorders — but an understanding of the voice from a Singer’s perspective. Take some voice lessons!”

While a graduate degree from a program accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology is essential for those desiring to go into practice as a Voice Therapist, aspiring health professionals who didn’t major in Communication Sciences and Disorders as undergraduates must simply fulfill certain prerequisites specified by their graduate program.

Obviously, this will mean more study time to obtain a grad degree but is a good option for those who didn’t start college knowing they wanted to work in the field. Voice Therapists begin their careers by studying speech-language pathology before going on to specialize in voice therapy.

1. Get clear on what “voice therapist” means in the U.S. In the U.S., the path to treating vocal damage as a clinician runs through Speech-Language Pathology (SLP). You are not just coaching technique. You’re helping clients recover from injury, reduce strain, and change habits that keep re-injuring the voice. Before you invest time and money, spend a couple hours watching real voice therapy sessions (university clinics and voice centers often post examples) and reading about common voice issues like nodules, muscle tension dysphonia, reflux-related irritation, and vocal fold paralysis. If you feel pulled toward the medical side of helping people, you’re in the right neighborhood.
   
   
2. Build your “voice instincts” by learning how voices break and how they heal. You don’t need to be a pro singer, but you should understand what healthy voice use feels and sounds like. If you’re 16–20, join choir, theater, debate, or start a podcast. If you’re older, take a few voice lessons with a teacher who talks about technique and vocal health, not just “sing louder.” Pay attention to fatigue, breath, tension, hydration, and recovery. This isn’t about being talented. It’s about becoming observant. The best clinicians catch patterns quickly because they’ve spent time around real voices in real-world conditions.
   
   
3. Start talking to people in the field now, not “someday.” Reach out to a local voice center, ENT clinic, university speech clinic, or hospital outpatient rehab department and ask if you can shadow or do an informational interview. You’re looking for two things: what their day looks like, and what skills actually matter. Ask what they wish students knew earlier, what backgrounds help most, and how they got their first voice-heavy placement. You’ll also learn the vocabulary and workflow, which makes school and interviews easier later. If someone says “no,” keep going. This career rewards polite persistence.
   
   
4. Choose an undergrad path that gets you into an SLP master’s program. If you already know you want voice therapy, a Communication Sciences and Disorders (CSD) bachelor’s is the cleanest path. If you’re already in another major, you can still do it. You’ll just need SLP prerequisites later (post-bacc leveling programs are common). Either way, stack classes that help with voice: anatomy, physiology, linguistics, acoustics, psychology, and research methods. Also start collecting experiences that show you’re serious: volunteer work, leadership, teaching, coaching, or anything with people skills. Voice therapy is technical, but the job is still human.
   
   
5. Get into an accredited SLP master’s program and treat it like job training. The master’s is where you earn the right to practice. You’ll do coursework plus clinical hours, and you’ll be trained across many areas, not only voice. Don’t fight that. A strong base makes you better in voice later. Use every project, presentation, and elective to steer toward voice when you can. If there’s a voice clinic, a singing voice lab, an ENT rotation, or a faculty member doing voice research, get close to it. You’re not being a teacher’s pet. You’re building a career lane.
   
   
6. Target voice-focused clinical placements and ask for what you want. In grad school and externships, you may have to advocate for voice exposure. Tell your clinical director early that voice is your goal and ask what placements historically provide it. If you land anywhere near ENT, a voice center, outpatient rehab, or a university voice clinic, treat it like an audition. Show up prepared, ask smart questions, and document your learning. Voice is a niche within a niche, so supervisors remember the students who are genuinely curious and reliable. One useful mindset shift is to act like you’re already a specialist in training, not a student waiting to be chosen.
   
   
7. Get licensed and complete your Clinical Fellowship with your long game in mind. After graduation, you’ll complete your Clinical Fellowship (CF) and pursue state licensure and the CCC-SLP credential. If you can land a CF in a setting that sees voice patients, that’s ideal, but it’s competitive and not always realistic right away. If your CF is broader (schools, general outpatient, SNF, etc.), you can still move toward voice by seeking mentorship, continuing education in voice, and building relationships with ENTs and voice teachers locally. The early years are often about building credibility while you gradually shape your caseload.
   
   
8. Create a referral engine with ENTs, voice teachers, and performance communities. Getting paid locally often comes down to referrals. Start building them intentionally. Introduce yourself to ENT offices (especially laryngologists), local voice teachers, choir directors, theater directors, and even high school music programs. Be professional, clear, and specific about what you help with: recovery, vocal fatigue, strain reduction, healthier habits, and return-to-performance plans when appropriate. The biggest mistake is being vague. The second biggest mistake is trying to “compete” with voice teachers. Don’t. You’re the clinical piece. Collaboration gets you clients.
   
   
9. Start with a small, ethical private caseload and grow it with results. Many voice therapists build private work alongside a clinic job. Keep it clean: operate within your scope, keep good documentation, and avoid overpromising. Set up a simple local presence (a basic website, Google Business profile if appropriate, clear service descriptions) and make it easy for people to contact you. Your first paid clients might be teachers with chronic hoarseness, singers with recurring strain, or public speakers who keep losing their voice. Track outcomes, ask for testimonials where allowed, and keep improving your intake and follow-up process. Results and consistency will beat “marketing” every time.
   
   
10. Keep leveling up with voice-specific training and a tight professional network. Voice science evolves, and the best clinicians stay current. Pick one or two voice-focused trainings per year, attend voice conferences when possible, and join voice-specific professional groups. Keep relationships warm with mentors and peers, because complex cases often require collaboration. A good rule: if you want more voice clients, you have to be the person other professionals trust. That comes from competence, humility, and communication. If you do those three well, the local gigs show up, and the bigger opportunities start to follow.

The American Speech–Language–Hearing Association (ASHA) “is the main speech-pathology association,” Chapman says. Membership consists of Audiologists, Speech-Language Pathologists, students, and university faculty, in addition to Voice Therapists. ASHA provides networking opportunities, continuing education, advocacy and career building support.