Our Founders

Welcome to a Speak Out New York, where speech therapy goes beyond just words—it embraces the entire person.

At our supportive and intimate space in Tribeca, clients receive holistic, highly tailored treatment plans that go beyond the surface of speech and language: By incorporating mindfulness, nutrition and movement, our clients experience transformative changes. 

Founders Vickie Bageorgos Necakov and Trisha Konstantinou met while pursuing their Masters degrees in Science at New York Medical College in 2000, where they quickly became study buddies and life-long friends. After extensive training in medically-based speech and language pathology, they founded their private practice, Speak Out New York, in 2006 to help clients thrive in a supportive environment that feels like home.

As mothers themselves, Vickie and Trisha are deeply committed to the families they work with: Speak Out NY sessions combine efficiency with empathy, accompanied by action plans that parents can easily implement at home. 

  • Vickie Bageorgos Necakov MS.,CCC-SLP TSSLD helps individuals of all ages harness the power to improve their speech, language and communication skills. After obtaining her Masters in Speech Language Pathology she teamed up with NYC Cleft Palate Teams working with children affected with craniofacial anomalies.She also worked in a variety of settings, including, hospitals, rehabilitation centers, skilled Nursing facility, early intervention, private schools and public schools.

    As a mother of two, Vickie understands the importance of clear and meaningful interactions in a child's development. She is dedicated to helping individuals of all ages discover the joy of effective communication.

    Vickie is also fluent in Greek which is her native language. She has worked with numerous bilingual and multilingual families to address language acquisition in a multilingual environment.

  • Trisha Konstantinou MS., CCC-SLP TSHH is a dedicated and compassionate speech therapist who helps children of all ages overcome communication challenges to unlock their full potential. Utilizing a variety of techniques and modalities, she develops customized plans for every child—ensuring they can communicate effectively and thrive in all aspects of their lives.

    Trisha has worked in a variety of settings after obtaining her M.S., at NYMC including pediatric children's hospitals, rehabilitation Programs, special education preschools, Early Intervention, Private and Public School Program.

    As a mom of two young boys, Trisha takes a family-centered approach to speech therapy, working closely with parents and caregivers to create a supportive environment that addresses each child’s specific needs. She frequently serves as an advocate for parents navigating special services in the public school system and is currently pursuing extensive training in childhood ADHD and anxiety management.

Meet the Team

  • Olivia Tarabocchi completed her graduate program for speech therapy at NYU. Olivia has always known she wanted to work with children, and completed two outpatient residencies prior to joining the SpeakOut NY team. Her first focused on pediatric evaluations and treatments at Montefiore Medical Center in The Bronx, NY. From there, she worked at a specialized social-learning school in downtown Manhattan for twice exceptional AST and ADHD students. Olivia specializes in articulation therapy and runs a number of social groups at our office for pre-school and elementary school-aged children. She has been a part of the SpeakOut NY team since 2021.

  • Therapy is part of Libby Fosmire’s DNA: Her parents and grandparents all worked in occupational, recreational and speech therapy. After teaching private voice lessons to middle schoolers, Libby realized she wanted to do more. She enrolled in grad school at the University of Texas, where she earned a degree in speech therapy with a focus on pediatric dysphagia. Libby joined the Speak Out New York team in October 2022 and primarily works with our pediatric clients, focusing on feeding therapy and helping kids get comfortable with new foods through play.