Evaluations, Consultations, and Direct Services for Childhood Apraxia of Speech

Childhood Apraxia of Speech (CAS) is a motor speech disorder in which the child has difficulty coordinating the complex movements required for speech. The difficulty occurs when the brain is unable to effectively send signals to the mouth. The child often knows what they want to say but has difficulty sequencing the movements between sounds and words. Children with CAS have difficulty saying words consistently and using multisyllabic words. They can also have co-occurring speech errors that are not caused by CAS (e.g. difficulty producing the “r” sound).

Children diagnosed with CAS need a specialized, motor-based approach to therapy and benefit most from therapy that occurs several times per week. Most children with CAS greatly benefit from access to Augmentative & Alternative Communication (AAC), such as communication boards, books, or an electronic device, as they acquire speech.

Other Services We Offer

Latitude offers evaluations, consultations, and direct services in English, Russian, and Spanish.

Foundational Communication Skills (Ages 0-8)

Early childhood is a critical time in your child's development. Let's create a strong foundation together to help your child excel!

First words and more words
Play development
Following directions
Using sentences
Communicating through sign-language and technology
Building confidence

Learn More About Communication Development

Bilingual Evaluations & Therapy

Childhood Apraxia of Speech

Developmental Delays

Reading Readiness

Articulation Difficulties

Whether you have a young child or a teenager, it is never too late to get help with articulation! Many of our clients find us after years of ineffective therapy and are finally able to graduate from Speech.

Errors on many speech sounds
Errors on select sounds, such as "S", "SH", and "R"
Speaking clearly & being understood
Building confidence

Learn More About Speech Sound Production

Accent Modification & Intelligibility Enhancement

Flexible Speech Therapy Solutions

With our innovative and evidenced-based methods, we strive to provide you with the highest quality personalized care that you deserve. We offer a combination of flexible options to fit your family’s busy schedule.

In Home Speech Services

Currently available for those located in the North Shore of Massachusetts:

Mobile speech therapy services conveniently provided in home, daycare, or school settings. This approach works best for direct therapy with toddlers and preschoolers, and older clients who need hands on help with placement for speech production

Hybrid Speech Therapy Services

The perfect mix for geographically distant clients who prefer online services and benefit from in-person check-ins.

A hybrid approach is recommended for clients who generally do well with online therapy but need periodic hands-on guidance for articulatory placement.

What Our Clients are Saying

Eva M.

Latitude Speech Therapy has been such a wonderful fit for my ten year old daughter. Dianna Brenner-Miller has truly transformed the way my daughter views her articulation disorder. Dianna’s warmth, enthusiasm, encouragement and creative approach has given her the tools to believe in herself and has given her newfound confidence and strengthened her overall self-esteem. My husband and I are amazed by all of her progress over the past 6 months of working with Diana and have certainly recognized significant improvements in her speech. Diana gives wonderful feedback and communication and she is always flexible and understanding. We feel so fortunate that our paths have crossed and look forward to seeing our daughters continued growth and progress with Diana!

JD B.

Simply stated, you will be hard-pressed to find another speech therapist with more knowledge, patience, compassion, empathy and respect for both you and your child. Our 12-year old son has been receiving speech therapy since the age of 2. We found Diana after an exhaustive search because we knew our son was not progressing in a timely fashion with his old speech therapist. In just six months she has brought out a new side of him. Diana works hard, going above and beyond to find ways to have him engage in the sessions and to connect with her instructions. He is much more confident, and his "R" sound is really coming together. Progress is Power and Diana Rocks! You will be so happy you read this review and then chose to work with her.

Steve A.

Diana is a superb multi-lingual speech pathologist and consummate professional who has provided speech therapy in Russian to our son since he was a young toddler diagnosed with a speech disability. Diana is extremely bright, knowledgeable, up to date with current bilingual and other research studies, and Diana is very talented, insightful and caring. During Covid and when we are out of state, Diana offers remote sessions, she is able to keep our son engaged and focused despite his attention deficits and impulsivity, she provides play-homework that is specific for his needs and development, and Diana is very accommodating when we have schedule conflicts. Diana also has been very responsive and a great support and advocate to help our son qualify for IEP and other school programs, and her services have been invaluable to help prepare our son for his very successful Kindergarten experience. We cannot recommend Diana highly enough, and we feel blessed and very fortunate that we found Diana to help enrich our son’s life and empower his critical early development, and for his continuing successful development in the coming years.

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Speech Therapy Services for Childhood Apraxia of Speech