Adult with swallowing difficulty after stroke enjoying family mealtime because of dysphagia therapy in Seattle, WA

Recover. Reconnect. Reimagine.

Adult Speech Therapy for Brain Injury Recovery in the Seattle, WA Area

Helping adults regain independence through compassionate and personalized therapy. We meet you in our Woodinville office or online.

Our Mission

At PNW Brain Rehabilitation in Seattle, WA, we help adults with brain injuries rebuild the skills they need to live independently, confidently, and with purpose.

Our Specialties

We specialize in speech, language, cognitive, and swallowing therapy for adults recovering from stroke, brain injury, or other neurological conditions.

Why Work With Us

You’ll get personalized, functional adult speech therapy that’s focused on your goals, with caregiver support and real-life strategies that work.

PNW Brain Rehabilitation graphic

Cognition • Language • Speech • Swallowing

Welcome to PNW Brain Rehabilitation, where therapy is functional, personalized, and rooted in real-life goals.

At PNW Brain Rehabilitation, we provide adult speech therapy for those recovering from stroke, brain injury, or other neurological conditions. Our goal is to help you regain the skills that support connection, independence, and quality of life.

We focus on real-life outcomes like speaking with confidence, returning to work, or eating comfortably at restaurants and family meals. Therapy is built around your goals and what you want to be able to do again.

We offer in-person sessions at our Woodinville office and virtual care across Washington. If you're feeling stuck, isolated, or overlooked in your recovery, you're not alone. We're here to help you move forward.

PNW Brain Rehabilitation provides evidence-based therapy for adults in the Seattle area and across Washington.

Speech Therapy Services for Adults

Swallowing Therapy

Helping you eat and drink safely without stress, restrictions, or fear of choking.

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Language Therapy

Improving your ability to speak, understand, read, and write with confidence and clarity.

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Cognitive Therapy

Building memory, attention, and problem-solving skills so daily tasks feel easier and more manageable.

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Speech Therapy

Making your speech clearer and easier to understand so conversations feel natural again.

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Meet Your Speech Therapist Specializing in Brain Injuries

Miranda Gendreau, M.S., CCC-SLP, CBIS
Owner, Speech-Language Pathologist

With over seven years of experience as a speech therapist, I created PNW Brain Rehabilitation to fill a gap in care for adults recovering from stroke, brain injury, and other neurological conditions. I specialize in functional therapy that helps clients restore essential life skills and reconnect with what matters most.

My approach to speech therapy is rooted in compassion, collaboration, and a deep respect for each person’s story. Therapy is never one-size-fits-all. I take time to understand your goals, your challenges, and your support system— so we can make meaningful progress together.

Outside the clinic, I’m often hiking in the Pacific Northwest, planning my next travel adventure, or curled up with a book and my two fluffy cats. I believe healing is possible, and I’m here to help you move forward with confidence.

Advanced Training and Certifications:

  • McNeill Dysphagia Therapy Program (MDTP)

  • Certified Brain Injury Specialist (CBIS)

  • Proficient in performing Modified Barium Swallow (MBS) Studies

Community Involvement

  • Miranda serves as a board member for Brain Northwest, a nonprofit organization dedicated to increasing public awareness, support, and providing hope for those affected by brain injury.

Adult with a brain injury integrating back into his career after receiving cognitive therapy for adults in Seattle, WA

Searching for an adult speech therapist or brain injury specialist in the Seattle, WA area? PNW Brain Rehabilitation is accepting new clients!

Getting Started with PNW Brain Rehabilitation

  • Book a call and complete a short intake form. We’ll talk through your goals and make sure PNW Brain Rehabilitation is the right fit.

  • Your evaluation will take place either in-person at our Woodinville, WA office or virtually via telehealth. Consent forms will be sent to you in advance.

  • We’ll share your results within a week and walk you through your personalized therapy plan, including recommended next steps.

  • Start therapy sessions focused on your goals. Sessions are offered in-person or online, with caregiver involvement and practical strategies you can use every day.