The purpose of this study was to examine how school-based speech-language pathologists (SLPs) maintained clinical services via teletherapy during the COVID-19 pandemic closures. School-based SLPs in the United States were invited to participate in an anonymous online survey. Questions relevant to this study gathered information regarding a) provision of teletherapy following COVID-19 school closures, b) the types of technologies used to deliver teletherapy and supports offered from school districts, and c) challenges to providing consistent therapy. Descriptive results indicate that over 60% of responding SLPs with complete data (n = 1109) provided teletherapy to all or some students on their caseloads. A variety of virtual methods were used, but Zoom and Google hangouts were the most commonly used technologies. Although some SLPs received training to deliver teletherapy (16%), many received no support from their district to maintain service provision (25%). The most frequently noted barriers to providing therapy included poor attendance of online therapy sessions and parenting their own children simultaneously. School-based SLPs were largely successful in maintaining speech-language therapy services to children on their caseloads. Information regarding the types of technologies used and common challenges can inform future teletherapy training for SLPs should future school closures occur.