Let’s Talk Speech and Language Therapy Services, LLC is an established private practice in West Bridgewater, MA. At Let’s Talk we provide both speech and language therapy and occupational therapy. At Let’s Talk we specialize in pediatric services! Our clinicians are committed to working closely with clients and families to provide the specialized attention and support necessary to address their concerns. We offer the following specialties:

- Comprehensive and dynamic motor speech evaluations

- Childhood apraxia of speech treatment

- Orofacial Myofunctional Therapy

- Alternative and Augmentative Communication (AAC) evaluations, device trialing and

funding, individualized AAC therapy, and parent and caregiver education.

- Online parent resources to fast-track your child’s progress at home

We are in network with a variety of insurances, including Blue Cross Blue Shield, Harvard

Pilgrim, Tufts, Mass General Brigham Health Plan, Cigna, and Health Plans.

Many parents often find themselves wondering “Well, how do I know if my child needs speech?” If you are at all concerned about your child’s speech or language skills, it is recommended that you seek out the advice of a licensed speech language pathologist (SLP). The SLP will hear your concerns and develop an assessment plan specific to your child. Then, the SLP will talk you through the results, whether or not they may benefit from intervention, and even provide some strategies to begin implementing at home! Here is some information that can help you better understand your child and their speech and language development:

Expressive Language

Before the age of 12 months the child should demonstrate pre-verbal skills such as babbling, joint attention, gesturing (e.g., pointing), communicative intent, etc.

At around 12 months, the child begins to use their first words!

By 15 months the child is using approximately 10 words

By 18 months the child is using approximately 50 words

By 24 months the child is using approximately 200-300 words. Around this age, we also expect children to begin to use 2-word combinations such as “daddy go, baby sleep”

Receptive Language

At about 12 months a child should be able to follow simple 1-step directions when given cues (e.g., give me the ball with an extended hand or put in bucket with a distal point), understand simple questions such as “where’s mommy?”, listen to simple stories, and point to objects named in a book

A child who is 2-3 years old should be able to follow commands involving body parts (e.g., show me your foot), follow 2-step directions (e.g., get your cup and bring it to me), and demonstrate the understanding of verbs by selecting corresponding pictures. A child who is 3-4 years old should be able to understand simple wh- questions, begin to learn

from listening, and follow 3-step directions (e.g., get your shoes, put them on, then meet me in the living room) A child who is 4-6 years old should be able to attend to a short story and answer simple questions about it.

Articulation/Intelligbility

By age 2 a child should correctly produce the following sounds: p, b, d, m, n, h, w

By age 3 a child should correctly produce the following sounds: k, t, g, -ng, f, y

By age 4 a child should correctly produce the following sounds: v, s, z, sh, ch, j, l

By age 5 a child should correctly produce the following sounds: zh, th (voiced), r

By age 6 a child should correctly pronounce the following sound: th (voiceless) (e.g., teeth)

In terms of your child's intelligibility, or how easy it is for others to understand your child, the following is expected:

- 1 year → your child is understandable approximately 25% of the time

- 2 years → Your child is understandable approximately 50% of the time

- 3 years → your child is understandable approximately 75% of the time

- 4 years → your child is understandable 100% of the time

Occupational Therapy

Our pediatric occupational therapists help children build the foundational skills they need for success in everyday activities—both at home and at school. This includes fine motor coordination (e.g., grasping a crayon, using scissors), sensory processing and regulation, self-care routines (e.g., dressing, feeding, toileting), visual-motor integration, and overall strength and coordination. Below are some general developmental milestones to keep in mind:

• Around 12–18 months, children begin using both hands together during play (e.g., holding a toy with one hand and placing objects inside with the other) and start finger-feeding independently.
• By age 2, children can typically use utensils to self-feed and begin simple tool use, such as scribbling with a crayon.
• Between 2–3 years, children should be imitating simple drawing strokes (vertical, horizontal, circular), stacking blocks, and assisting with dressing.
• By 3–4 years, most children can manage simple clothing fasteners (e.g., large buttons, zippers), use scissors to snip paper, and demonstrate improved balance and coordination.
• Around 5–6 years, children begin forming recognizable shapes and letters, develop a mature pencil grasp, and show increased independence with dressing, grooming, and other self-care tasks.

If you notice your child struggling with coordination, self-help skills, attention, or sensory processing, an occupational therapy evaluation can help determine whether support may be beneficial.

If you would like to set up a speech and language evaluation or occupational therapy evaluation, contact us today at intakes@Ltspeech.com or 508-230-8181. You can also get started today by completing an intake form directly on our website: www.Ltspeech.com. Our online parent resources can also be found at www.Ltlearningacademy.com.

Let's Talk Speech & Occupational Therapy Services

120 West Center Street 

West Bridgewater, MA 02379

Speech: Units 2 & 3

Occupational: Unit 4
Phone: (508) 230-8181

Clinic Hours: Monday to Friday 8:00am - 7:00pm 

Office Hours: Monday to Friday 10:30am - 5:30pm 

Closed Saturday & Sunday