About Us

Our History

Prior to 1996 when Joan Dietrich Comrie opened our first location in Raleigh, NC (Carolina Pediatric Dysphagia (CPD), feeding and swallowing services were only found in a hospital setting.   In 2015, Pediatric Feeding and Swallowing Associates (PFSA), our second location in St. Petersburg, FL was opened to provide feeding and swallowing services enabling even the most medically fragile infant or child to receive patient centric feeding and swallowing services in a warm, non-threatening, yet professional outpatient environment.

Team Approach

Proving skilled medically based intervention which is child-focused, family-centered and driven by the latest research and efficacy data, our certified, licensed speech pathologists works as a team with all of your medical providers to provide a unified approach to addressing your child’s needs. This approach involves working in tandem with pediatricians, developmental pediatricians, gastroenterologists (GI), otolaryngologists (ENT), neurologists, pulmonologists, dentists, allergists, lactation consultants, psychologists, nutritionists, occupational therapists, physical therapists and any other member of your child’s medical team.

We have extensive experience in all levels of dysphagia care. From the most fragile preterm infant, toddlers, school age, residential care facilities, private practice and home-based healthcare, we are unique in our level of care. Our Raleigh practice, CPD saw more children than any other facility in the region, giving us the ability to apply this experience to quickly provide a solution for your child.

PFSAs Efficient and Effective Evidence-Based Services Produce Better Outcomes

Based on over 30 years of experience, our carefully designed programs work! Over and over research indicates that effective results are driven by experience and expertise.  We complete detailed evaluations, provide recommendations, and design a treatment program that considers your child’s individual needs.

We are the only private practice that has the expertise to complete the gold standard of dysphagia evaluations (Modified Barium Swallow Studies and Oral Pharyngeal Motility Studies) in an outpatient setting . Learn more about Oral Pharyngeal Motility Studies

About Joan Dietrich Comrie

Joan Dietrich Comrie has dedicated her entire career of over 30 years to studying, teaching and practicing in the area of dysphagia, specifically pediatric dysphagia. She received her Bachelor of Science degree and then her Master of Science degree in speech pathology at the University of Wisconsin-Madison in 1986. Before starting Carolina Pediatric Dysphagia in 1996, she worked at several hospitals (Cardinal Hill Rehabilitation Hospital, Lexington KY, Vanderbilt Medical Center Children’s Hospital, Nashville, TN and WakeMed Hospital, Raleigh, NC) where she developed or reorganized the hospital’s pediatric dysphagia program.

Joan has spoken on the topic of pediatric dysphagia nationally and internationally and has been published in a professional journal. She co-taught the first dysphagia course and continues to guest lecture at the University of North Carolina, and several other universities graduate level speech pathology programs, for the Mary Rose Tully Initiative (UNC, NC) and to the UNC Medical Students who completed their rotation at WakeMed. She has served as chairman and member of a subcommittee of the Special Interest Group #13 of the American Speech Language Hearing Association (ASHA). Joan has received her Certificate of Clinical Competence (CCC) through ASHA, is licensed in the state of North Carolina and Florida and has received four ASHA ACE Awards (Award for Continuing Education) that recognizes those who have demonstrated exceptional levels of professional learning for increased knowledge and skill development in 1989, 1991, 1995 and 2014.

Our Therapists

Our therapists go through a rigorous training period, have advanced degrees, are licensed and certified.  We provide the highest level of integrity, care, and compassion. By receiving extensive training and continuing education opportunities we provide evaluations and design treatment plans based on the latest research and efficacy data.  Our dedicated and enthusiastic therapists provide services in our clinic.