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.

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Other Services We Offer

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

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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
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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

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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
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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.

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What Our Clients are Saying

Vera B.
We are so happy with our experience receiving speech therapy services from Latitude Speech for our Russian-speaking 2 year old with a history of prematurity and significant speech delays. When we started working with Diana, our child was not talking at 2 years old, and by the time we completed weekly therapy a little over a year later, she was speaking in full sentences with a broad vocabulary. Diana’s approach is play-based and multi-modal, using spoken words, signs, and augmentative communication devices, focusing on specific sounds and words as well as language concepts, prioritizing the ability to communicate basic needs, and supporting and respecting our family’s bilingualism. She was actively involved in advocating for services and communicating with the public school system when our child was assessed for IEP services. We are so grateful for Diana’s expertise, thoughtfulness, creativity, commitment, patience, gentleness, and pure love for our child. It’s amazing to see our child come so far.
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