Karen I. Kupfer MS CCC-SLP 

Karen I. Kupfer MS CCC-SLP – Owner of Midstate Therapy Associates, a privately owned and operated speech therapy and occupational therapy practice. Karen is licensed speech pathologist who provides evaluations, diagnosis and therapy from infancy through adulthood.
Karen has been a speech language pathologist for 26 years. She received her masters degree from Brooklyn College, Brooklyn, New York. She has worked in many different settings including: early intervention, hospitals, schools, nursing homes, homecare, rehabilitatioin centers, sheltered workshops for developmentally disabled adults, head start programs and private practice. Her caseload consists of infants through adults. She enjoys working in the areas of early language development, feeding, mental health, learning, articulation and leading groups. She has lectured on many speech and language related topics. Karen has volunteered for many causes and is currently involved with the National Alliance on Mental Illness (Nami, New Jersey). She also participates and chairs fundraising events.

  • Speech Therapy Services

    We provide evaluations, diagnosis and therapy from infancy through adulthood. Evaluation and treatment for speech therapy addresses the following:

    • Speech and language delay
    • Early intervention/birth to three years
    • Feeding therapy
    • Oral motor therapy
    • Tongue thrust
    • PDD/Autism
    • Behavioral issues
    • Articulation disorders
    • Phonemic awareness/reading readiness skills
    • Auditory processing
    • Voice disorders
    • Stuttering
    • Hearing impairment
    • Neurological impairment
    • Developmental disabilities
    • Head injury
    • Cognitive skills


    Speech Therapy Programs

    • Visualizing and Verbalizing for Language Comprehension and Thinking Program
    • Myofunctional Therapy Program (Tongue Thrust)
    • Stuttering Therapy by a Specialist
    • Phonemic Awareness Skills for Reading
    • Earobics
    • Infant/Toddler Signing
    • Language Groups
    • Feeding Therapy
    • Early Intervention
    • Traditional Speech & Language Therapy


    Occupational Therapy Services

    We provide evaluations, diagnosis and therapy from infancy through young adulthood. Evaluation and treatment for occupational therapy addresses the following:

    • Handwriting/Handwriting Without Tears
    • Visual motor integration and visual perceptual processing
    • Fine motor skills
    • Low muscle tone/hypotonia
    • Activities of daily living/ADL
    • Play/leisure time skills
    • Executive functioning skills
    • Motor planning and coordination
    • Sensory processing and integration
    • Neurological or neuromuscular developmental delays


  • Question:

    I have concerns regarding my child’s development. My pediatrician says she will outgrow it. I am still concerned. What should I do?


    Trust your instincts, they are usually correct. Contact a speech language pathologist or a occupational therapist to discuss your concerns.


    How long will therapy take?


    It’s based on the individual and their needs.


    Does my insurance pay for therapy?

    Answer:  It depends on your policy and what the client is being treated for. We will check your benefits and advise you.

  • We accept most insurances  |  We accept Medicare

337total visits,3visits today

Opening Hours


8:30AM to 8:00PM


8:30AM to 8:00PM


8:30AM to 8:00PM


8:30AM to 8:00PM


8:30AM to 8:00PM


By Appointment Only


By Appointment Only

Sat/Sun By Appointment Day, Evening & Saturday Hours


Our Address:

219 Taylor Mills Road Manalapan, NJ 07726

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Emma (verfied) July 5, 2017 9:27 pm
Health Care/Wellness Professional
Would You Recommend

We have been coming for about 4 years now. Words cannot describe how thankful we are for the speech services. These professionals always have gone above and beyond the speech therapy to help us advocate for our child. I’m forever thankful to the person who recommended them to me and I’m hoping I’m able to help someone else.

337total visits,3visits today

Kristina Ristaino January 27, 2017 4:23 pm
Health Care/Wellness Professional
Would You Recommend

My son is seven years old and has autism. We have been coming here for 2 1/2 yrs and we see Karen for Speech and Virginia for OT. Both ladies are absolutely amazing and we are blessed that we found them. It’s a wonderful program, they always go above and beyond to provide stupendous services. Thank you for all you do and to everyone who’s involved in this fantastic program.

337total visits,3visits today

Karen July 27, 2016 7:55 pm
Health Care/Wellness Professional
Would You Recommend

My autistic child receives both speech and occupational therapies at Mid State Therapy Associates. My son is treated with the utmost respect and care. He has made great strides with Jackie (Speech) and Tami (OT) . Jackie is experienced in working with augmentative devices. The therapists at Mid State are always available to discuss any questions or concerns I may have. They provide valuable feedback in order to bridge the gap between the home environment and the therapy settings. Mid State Therapy is very flexible with scheduling and are very prompt.

337total visits,3visits today