Due to the current situation given the COVID-19 beginning next week, March 23, 2020- we will not physically be seeing patients at our office. We are currently working on the possibilities of telehealth pending decisions from the State of South Carolina about insurance coverage. We love our children and our Palmetto SpOT family and do not want to see anyone in harm's way. We are anticipating the telehealth program to be available within a week and will be in contact via email. These are uncertain times but there are a few things we are certain of – we will get through this together and we love our Palmetto SpOT families.


Learn About Our Team

Let the healthcare providers at Palmetto SpOT help find the right solution for you. Our commitment to better communication through speech and occupational therapies is enhanced with our team's dedication to developing strategies based on your needs. A convenient location in Summerville with exceptional services adds to the effectiveness of the care we offer you, your family and loved ones.

The Palmetto SpOT Team

Dr. Kristen Bish

Audiologist / CEO

Dr. Kristen Bish is a board-certified Doctor of Audiology. She received her master's degree in Audiology in 1998 from the University of Buffalo. After practicing for five years, she continued her education and received her AuD. degree in 2005. She had been practicing in a small, private office in Mount Pleasant for four years prior to opening Palmetto Audiology and Speech Therapy, now Palmetto SpOT, in 2006.

Outside the office, Dr. Bish enjoys spending time with her husband, Darin and children, Brianna, Connor and Katherine.

Andrea Pilch

OTR Occupational Therapist

Andrea is a certified occupational therapist and has practiced since 1998. She is a graduate of the University of South Carolina where she earned two bachelor's degrees in Biology and Psychology. She gained her master's degree in Health Sciences and Occupational Therapy from the Medical University of South Carolina.

She has worked in multiple settings to include acute care, inpatient rehabilitation, home health, and outpatient care. Andrea enjoys spending time with her husband and two children.

Harriet Hetzel, MED

CCC-SLP Speech
Language Pathologist

Harriet C. Hetzel, MED, CCC, SLP is a Certified Speech Language Pathologist (SLP) with over 30 years of experience in the field. She holds the Certificate of Clinical Competence (CCC) issued by the American Speech and Hearing Association and is a member of the South Carolina Speech and Hearing Association. Harriet is currently an Adjunct Professor at the College of Charleston and supervises special education students in the public school setting. She recently retired as a public school SLP where she was named Dorchester Two School District 2001 Teacher of the Year.

Harriet graduated with a bachelor's degree in Speech Correction from Valdosta State University in Georgia and a master's degree in Education in Speech Language Pathology. She is also licensed by the South Carolina Department of Labor, Licensing and Regulation Board of Examiners in Speech Language Pathology.

Lisa Baxter, MA

CCC-SLP Speech
Language Pathologist

Lisa was born in Baltimore, Maryland and moved to South Carolina in 1990. She attended Loyola University in Maryland and received an undergraduate degree in Speech Pathology. From there, Lisa attended Ohio University for graduate school and obtained her master's in Hearing and Speech Science when dinosaurs roamed the earth! Actually, that was in 1989.

Lisa is ASHA certified and licensed by the state of South Carolina. She has worked in many settings including hospitals, nursing homes, home health, schools and clinics. She has also had experience working with people from 3 months to 105 years old. In her spare time, she enjoys jazz, scuba diving and watching movies.

Emily Brain, MA


Emily received her undergraduate degree from Kent State University in Ohio, with a major in Human Development and Family Studies. After working as an Early Intervention Service Coordinator for three years, Emily returned to school to complete a master's degree in Speech-Language Pathology at The University of Akron. During this time, Emily participated in the Graduate Consortium in Listening and Spoken Language, which focused on auditory-verbal therapy for children and adults who have hearing loss. Upon graduation, Emily moved to Charleston and began her career as a clinical fellow at Palmetto Audiology and Speech Therapy. In her free time, Emily enjoys going to the beach, and she is looking forward to winters with much less snow!!

Sarah Waszut


Sarah Waszut is a Certified Occupational Therapy Assistant and is licensed as an Occupational Therapy Practitioner in the State of South Carolina. She received her Associate of Applied Science degree in Occupational Therapy in 2017 from Trident Technical College. Sarah specializes in Pediatric Occupational Therapy. She has experience in various settings such as skilled nursing facilities, Adult Day Care facilities, and the public-school system. She brings many years of working with children with various diagnoses such as, but not limited to, Autism, Sensory Processing Disorder, ADD/ADHD, Cerebral Palsy, ODD and Down Syndrome. Sarah has a love of arts and crafts that she incorporates into her sessions to inspire new interests and promote self-confidence, while having fun. She has over 7 years of experience working with children with special needs and is continuing to build her knowledge in sensory integration to better help children and their families succeed in their life occupations. Sarah is now a BabyNet provider and is now providing services in the surrounding areas.

Megan Taliaferro, MS

CCC-SLP Speech Language Pathologist

Megan received both her Bachelors of Science in Communication Sciences and Disorders and her Masters of Science in Speech-Language Pathology at James Madison University in Harrisonburg, Virginia. During her time as an undergrad, she completed both research and an Honors Thesis under Dr. Vicki Reed and was invited to present the findings as a poster presentation at the national American Speech and Hearing Association convention in 2015. During her time as a clinical fellow, Megan began specializing in neurological treatment with adults in both outpatient and acute care settings. She is certified in LSVT LOUD voice therapy for Parkinson's Disease and is trained to complete Modified Barium Swallow Studies in conjunction with radiology. Megan currently sees patients of all ages at Palmetto Speech and Occupational Therapy and continues to dabble in neurological rehabilitation at local hospitals. Megan lives downtown Charleston and enjoys yoga, running at Hampton Park and enjoying the beautiful sunsets from her balcony.

Stephanie Chappel, MOT, OTR/L

Occupational Therapist

Stephanie Chappel holds a Master's degree in occupational therapy from the University of Findlay in Findlay, Ohio. She moved to the Charleston area from Columbus, Ohio, with her husband and baby girl in March of 2019. Stephanie has worked with children in both the outpatient and school settings. She has extensive training in sensory processing, Autism, feeding disorders, and developmental delays. Her passion is working with children and families to overcome sensory processing challenges and foster emotional regulation skills. She has worked with several childhood diagnoses, including Autism, ADHD, Rett Syndrome, Sotos Syndrome, Down Syndrome, pediatric stroke, TBI, and brachial plexus injury, to name a few. Stephanie is also trained in the Beckman Oral Motor approach. She strives to collaborate with families to help children to maximize skills for participation in daily life. When she's not working, Stephanie enjoys running and hiking!

Speech Therapy

Our pathologists assist patients with fluency disorders, articulation disorders and developmental language delays.

Learn More
Occupational Therapy

The therapists at Palmetto SpOT are dedicated to providing therapeutic support to patients throughout their lives.

Learn More
Home Health

In special circumstances, our team offers home health services to make it easier for patients to receive the therapy needed.

Learn More
New Patients

Palmetto SpOT is always accepting new patients at our Summerville location. Schedule an appointment with us today.

Learn More