Welcome!
National Speech/Language Therapy Center treats children with a variety of speech, language and cognitive disorders and difficulties. Our assortment of services allows us to customize a program that will provide a personal and unique program for your child.
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"I cannot express how indebted we are to Sabra Gelfond and the staff at NSLTC. After leaving a therapist that couldn't handle my "difficult" son, we were greeted by Sabra with open arms--and those arms have never closed. My son has made incredible progress--going from a non-verbal, angry child to a calm, collected, and very verbal little guy. This is in no small part due to the love, support and patience of Sabra and everyone at NSLTC. We will be forever greatful. "
A. Kornfield
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National Speech Early Detection ProgramFind out about our FREE Speech, Language and Reading Screenings
National Speech Early Detection Program
Find out about our FREE Speech, Language
and Reading Screenings
New Clients
Please click here to download forms needed for your first visit at National Speech.
2010 Summer
Camp Programs
Does your child need speech therapy?
Take This Quiz!
National Speech is a family-oriented practice specializing in speech, language and learning disorders. Most speech and learning disorders such as dyslexia and auditory processing can be identified early on. At National Speech, we offer programs to help children learn to speak and understand what they see, hear and read from an early age. Tutoring services are now available as well as Saturday hours for tutoring and speech therapy! Our Staff provides a wide variety of speech and language therapies designed to improve:• Receptive and expressive language • Attentional Problems• Reading problems• Autism Spectrum Disorder• Comprehension/auditory processing • Oral motor disorders (Apraxia of speech, articulation difficulties)• Language organization, including written language difficulties• Cognitive skills difficulties• StutteringAdditionally, through contracting agencies or privately, we are able to provide services at other locations.
National Speech is a family-oriented practice specializing in speech, language and learning disorders.
Most speech and learning disorders such as dyslexia and auditory processing can be identified early on. At National Speech, we offer programs to help children learn to speak and understand what they see, hear and read from an early age.
Tutoring services are now available as well as Saturday hours for tutoring and speech therapy!
Our Staff provides a wide variety of speech and language therapies designed to improve:
• Receptive and expressive language
• Attentional Problems
• Reading problems
• Autism Spectrum Disorder
• Comprehension/auditory processing
• Oral motor disorders (Apraxia of speech, articulation difficulties)
• Language organization, including written language difficulties
• Cognitive skills difficulties
• Stuttering
Additionally, through contracting agencies or privately, we are able to provide
services at other locations.
Services by Area of Concern:
Speech Therapy, Evaluations,
and Screenings
Don't see what you are looking for? No problem! Tell us your concerns in your own words and we can customize a program to fit your child's specific needs.
Articulation
Group Therapy
ADD/ADHD
Auditory Processing
Tutoring Services
Autism
ABA/VB Programs
Executive Function/
Organizational Skills
Language Delay
MAP
Listening Skills
Memory Skills
Handwriting Without Tears
Reading Comprehension
PACE
Social Skills
Stuttering
Distance Therapy Programs
Tongue Thrust
Sabra Gelfond, M.A., CCC-SLP
Nancy DeVierno, M.A., CCC-SLP
Brooke Koetick, M.A., CFY-SLP
Executive Director
Speech/Language Pathologist
George Washington University, M.A.
University of Maryland College Park, M.A.
Monica Maines, M.S., CCC-SLP
Amanda Guenther, M.A., CCC-SLP
Randy Buchner, M.A., CCC-SLP
Clinical Director
SUNY College at Buffalo, M.S.
Specialization: Evaluations
Lehman College, M.A.
Felicia Williamson, B.S., SLP-A
Latha Pothuri, M.A., CCC-SLP
Brooke Leiman, M.A., CCC-SLP
Brooklyn College, M.A.
Specialization: Bi-Lingual SLP (Hindi/Urdu)
Speech Assistant
Howard University, B.S.
Specialization: Communication Technology
Specialization: Fluency
Marilyn Grunewald, M.S.W.
Office Manager
University of Manchester UK, M.S.W.
Find Out What Our Parents Have to Say
About National Speech
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To find out the benefits of being a NSLTC client:
©National Speech/Language Therapy Center has been in the business of treating children for over 20 years.
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Information
About our
Contracting Agencies
National Speech/Language Therapy Center specializes in treating children who have speech, language, reading and associated learning difficulties. We have, or currently are, providing services on-site and off-site with various agencies and schools, including:
- Montgomery County Public Schools
- Maryland Department of Disability
- St. Elizabeth's
- The Ridge School
- District of Columbia Disability Determination
- United States Department of Navy
- Sunrise Academy
- Jewish Primary Day School (JPDS)
For additional information on how to secure a contract with National Speech, including how to have screenings and/or therapy provided in your school/agency, please contact us directly at (301) 493-0023.
National Speech/Language Therapy Center
National Speech/Language
Therapy Center
5606 Shields Drive (off of Old Georgetown Rd.)
Bethesda, MD 20817
Tel.: (301) 493-0023
E-mail: contact_nationalspeech.com
Contact Us
(please include a phone number and the age of your child)
New Client History Form
Policies and Fees
New Clients:
Please download the forms located on the right side of this page. Complete the forms, and bring them to the office at the time of your first visit.
Directions can also be downloaded.
If, for any reason. you must cancel or reschedule your appointment, please call us at (301) 493-0023 within 24 hours prior to the appointment. If an appoinment is not canceled or rescheduled within 24 hours, a $50 fee will be charged.
Thank you very much,
Insurance Information
Credit Card Authorization
Directions
What are the benefits of being a National Speech client?
- A family friendly practice willing to work with your busy schedule
- Experienced therapists who work in partnership with other team members (OT, PT, teachers, etc)
to provide the best therapy for your child
- Reports that are generated quickly.
- We are a well known practice in the community, and participate in many community outreach
programs
- A referral network of physical therapists, pediatricians, occupational therapists, behavioral therapists
and more
- Therapists who are experts in the areas of:
- Evaluation
- Fluency
- Autism
- Communication Technology
- Staff who understand the importance of the "whole child approach"
- Personalized programs to better serve your child's individual needs
- Flexible financing options for families in need
- You will receive a list of possible funding sources during your first visit
First select your child's age:
Birth to One Year
One to Two Years
Two to Three Years
Three to Four Years
Four to Five Years
Answer "Yes" or "No" to the following questions:
By 3 months, my child:
- Made pleasure sounds
- Cried differently for different needs
- Smiled when he saw me
By 6 months, my child:
- Babbled sounds more like spech with many different sounds including p, b, and m
- Chuckled and laughed
- Vocalized excitment and displeasure
- Made gurgling sounds when left alone and when playing with me
By 1 year, my child:
- Babbled with both long and short groups of sounds such as "tata upup bibibibi"
- Used speech or noncrying sounds to get and keep attention
- Used gestures to communicate (waving, holding arms to be picked up)
- Imitated different speech sounds
- Had one or two words (hi, dog, dada, mama) around first birthday, although some sounds may not be clear
If you answered "No" to 1 or more question in
each category, please click here.
If you answered "Yes" to each question in
Between the ages of one and two, my child:
- Said more words every month
- Used some one or two word questions ("Go Bye-Bye?" "What's that?")
- Put two words together ("more cookie," "no juice," "mommy book")
- Used many diferent consonant sounds at the beginning of words
If you answered "No" to 1 or more question,
please click here.
If you answered "Yes" to each question,
Between the ages of two and three, my child:
- Had a word for almost everything
- Used two or three words to talk about and ask for things
- Used k, g, f, t, d and n sounds
- Used speech that was understood by familiar listeners most of the time
- Often asked for or directed attention to objects by naming
Between the ages of three and four, my child:
- Talked about activities at school or at friends' homes
- Was able to be understood by people other than our family
- Used a lot of sentences that had 4 or more words
- Usually talked easily without repeating syllables or words
Between the ages of four and five, my child:
According to your answers, a discussion with a speech therapist may provide more insight into your child's development. This does not mean that anything is wrong with your child, it simply means that some red flags have been raised. However, an "in-person" screening or assessment would be needed before making any diagnosis or creating a treatment plan. National Speech Language Therapy Center can provide a full assessment and also offers free screenings. Please click below to contact us.
Click here to contact us!
According to your answers, it appears that your child is developing according to typical norms. This does not guarantee that your child may not need speech therapy in the future, but at this time, no red flags have been raised. If you have any questions or concerns, please feel free to contact us.
What is the National Speech Early Detection Program?
The Early Detection Program is a community outreach program designed to help with early identification of children who may be at risk for language or learning struggles.
To assist in early identification, National Speech/Language Threapy Center is offerening FREE speech, language, learning, autism and reading screenings for parents who are concerned about their child's:
- Sound production/articulation
- Late acquistion of language
- Social Skills
- Language Development
- Reading Skills
- Auditory Processing ability
- Dysfluency (stuttering)
Why is early identification so important?
Speech and language development is a useful indicator of a child's overall development, including cognitive ability and later school success. Early identification of children at risk can lead to appropriate intervention services and family assistance, when the chances for improvement are most promising.
What is involved?
Simply call (301) 493-0023 or email earlydetection_nationalspeech.comto schedule a screening time and to discuss any concerns you have about your child.
Click Here to Contact Us
Sabra Gelfond, MA, CCC-SLP
A graduate from George Washington University, Ms. Gelfond has over twenty years of experience in speech/language intervention. She holds graduate degrees in Education and Human Development as well as in Speech/Language Pathology. Ms. Gelfond has worked extensively with children who have speech, language, reading, and behavior disorders, including working with school systems and other agencies requiring IFSP and IEP development and implementation. Ms. Gelfond received the 2000 Leadership Award for recognition of her role, in bringing computer-based training programs and solutions to children. She is the author of the MAP program, an innovative tool for training parents and other professionals who work with language-impaired toddlers, such as those with autism spectrum disorders. Ms. Gelfond has been featured in The Washington Post, on National Public Radio, and in professional journals. She has authored numerous articles on learning struggles in children. She has been a speaker at parent groups, schools and other organizations.
Articles by Sabra:
All The Ingredients
Homework Without The Hassles
How You Can Build A Better Reader
Poor Readers? Recognize the Risk Factors
Monica S. Maines, MS, CCC/SLP
Growing up in Buffalo, NY, Monica completed her undergraduate degree in Psychology and Graduate degree in Communication Disorders before locating to the DC area in 1994. Monica has treated a variety of children over the years, most recently focusing on children with motor planning disorders, language delays and organizational challenges. In addition to providing direct treatment, Monica also has extensive diagnostic experience and works closely with Learning Specialists, local pediatricians and schools.
"I believe that the each child is unique and by working with parents and other professionals, strengths and weaknesses can be identified and appropriate steps can be taken to help children reach their full potential."
Amanda Guenther MA, CCC-SLP
Speech-Language Pathologist
Amanda received her Masters degree in Speech-Language Pathology from the University of Maryland. She has extensive experience working with children with Autism Spectrum Disorder (ASD) and their families, particularly with the Applied Verbal Behavior (AVB) method. Amanda also has experience in assessing and treating children with expressive and receptive language delays, articulation disorders, and learning disabilities. She enjoys working with children from ages 2 through 18, with a slight preference for the 5 to 10 year-old age range. Amanda has seen children make tremendous progress in speech therapy and looks forward to meeting you and your child.
Nancy DeVierno MA, CCC-SLP
Nancy DeVierno received her Masters degree in Speech-Language Pathology from the University of Maryland- College Park. Her candidacy paper was on language acquisition in Pervasive Developmental Disorders (PDD). She has worked in the autism field for over 20 years (including training from Dr. Michael Powers). She sees clients in our office and in private and public schools. She has extensive experience working with children with pervasive developmental disorders (Autism, Asperger's Syndrome, and PDD-NOS), language delays (including mental retardation), phonological disorders, emotional and learning disabilities, and dyslexia. She also works with adults for accent reduction. Her professional associations include: American Speech-Language Hearing Association and Maryland Speech-Language Hearing Association (where she has served on one committee). Additionally, she has been a member for over 20 years of Autism Society of America (ASA) and was a former board member of the Montgomery County chapter of ASA.
Brooke Leiman, MA, CCC-SLP
Brooke received her Masters degree in Speech-Language Pathology from the University of Maryland. She has experience in the assessment and treatment of children with expressive and receptive language delays, articulation disorders, autism spectrum disorder and pragmatic disorders. She has a special interest in working with children with fluency disorders.
Latha Pothuri MA, CCC-SLP
Bi-Lingual Speech/Language Pathologist
Latha Pothuri is a Speech-Language Pathologist with over 21 years of working experience. She received a Masters in Speech and Language Pathology from Brooklyn College, New York. Latha received her training at Mount Sinai Medical Center in New York and continued to work there as part of a team at the Speech/Language and Learning Center for 9 years. During tenure at Mount Sinai, she provided departmental presentations, training of graduate students as well as education for pediatric and neurology residents in the area of speech/language disorders. Latha's professional experience includes evaluation and treatment of toddlers through adolescents with varied communication needs in hospital, school and private practice settings. Her expertise includes autism, pervasive developmental disorders, phonological disorders, fluency disorders, language disorders, and language/learning disabilities. In addition to her experience, Latha is bi-lingual in Hindi/Urdu and performs evaluations in those languages.
Randy Buchner, MA, CCC-SLP
A graduate of Lehman College, Randy has over twenty years of experience as a speech/language pathologist during which she has worked in public schools, special education programs and private practice. The majority of Randys experience has been with toddler, preschool and elementary school-aged children.
Brooke Koetick MA, CFY-SLP
Speech/Language Fellow
Brooke received her undergraduate degree in communication sciences and disorders at the Pennsylvania State University and pursued her Masters degree in speech-language pathology at George Washington University. Throughout her graduate career and CFY, she has treated a variety of children, primarily between the ages of 2 and 8, including those with autism spectrum disorder, motor planning disorders, global developmental delays, language, and speech delays. Brooke also recently became involved in diagnostics, working closely with early intervention specialists. She enjoys collaborating with fellow colleagues, including occupational therapists, teachers, psychologists, and others. Brooke strives to look at the child "as a whole" and include the child's family in the therapeutic process as much as possible.
Denyese Thomas MA, CCC-SLP; MS, Reading
Denyese is a speech and language pathologist and a Certified Reading Specialist who currently works for the District of Columbia Public Schools. She has 18 years of experience with children from 3 to 21. Recently, Denyese was employed as a literacy coach as part of the No Child Left Behind initiative, in an effort to train elementary level teachers techniques for improving early literacy skills. Her areas of expertise are language based learning disabilities, auditory perception/process and articulation delays and disorders.
Felicia Williamson
Speech Therapy Assistant
Felicia is a Speech Therapist Assistant who joined the National Speech team in August 2008, with a B.S. in Speech and Language Pathology and a love for working with children. Felicia has a particular interest in assisting children who struggle with communication impairments and has experience aiding children with Autism Spectrum Disorder. She is currently working on her Masters Degree at Howard University.
Marilyn Grunewald
Business Manager
Marilyn comes to National Speech/Language Therapy Center after a 25 year career in social work. She loves the change of pace and direction and particularly enjoys the interaction with the children and their families. She is responsible for all financial issues and handles certain aspects of marketing also. She holds a BA from Glasgow University and an MSW from Manchester University. She is easily recognizable, being the only one in the office with a Scottish accent!
Speech Therapy, Screenings and Evaluations
- Articulation - Language Delay - Auditory Processing - Word Retrieval - Small Vocabulary - Autism Spectrum Disorder - Reading DifficultiesAges: 16 months to AdultFor more detail on therapy options, please call us 301-493-0023 or email contact_nationalspeech.com.Saturday hours available.
- Articulation
- Language Delay
- Auditory Processing
- Word Retrieval
- Small Vocabulary
- Autism Spectrum Disorder
- Reading Difficulties
Ages: 16 months to Adult
For more detail on therapy options, please call us 301-493-0023 or email contact_nationalspeech.com.
Saturday hours available.
Group TherapyGroup Therapy/Social groups at National Speech provide language stimulation and encourage age appropriate communication between groups of 2-4 children of similar age and communication levels.Preschool Social Groups: Thursdays at 10:00am Thursdays at 3:00pm Beginning in July, a social group for children ages 2-5 will be availale. This group will meet two days a week for two hours each day. Days and times will be based on group interest.Preteen/Teenage Stuttering Groups: We offer a Teenage Stuttering Group where pre-teens and teens have the opportunity to learn helpful techniques and practice using them in a comforting and supportive environment with peers they can relate to. In addition to learning new techniques, teens will get a chance to icrease their knowledge and understanding of stuttering, discuss important issues such as teasing, and role play situations that often cause anxiety for children who stutter such as oral presentations and talking on the phone. Call to inquire about dates and times.
Group Therapy/Social groups at National Speech provide language stimulation and encourage age appropriate communication between groups of 2-4 children of similar age and communication levels.
Preschool Social Groups: Thursdays at 10:00am
Thursdays at 3:00pm
Beginning in July, a social group for children ages 2-5 will be availale. This group will
meet two days a week for two hours each day. Days and times will be based on group
interest.
Preteen/Teenage Stuttering Groups: We offer a Teenage Stuttering Group where pre-teens and teens have the opportunity to learn helpful techniques and practice using them in a comforting and supportive environment with peers they can relate to. In addition to learning new techniques, teens will get a chance to icrease their knowledge and understanding of stuttering, discuss important issues such as teasing, and role play situations that often cause anxiety for children who stutter such as oral presentations and talking on the phone. Call to inquire about dates and times.
TutoringTutoring services are available in all academic areas for children grades K through 12. Our well trained tutors make learning fun. Tutoring can be provided at the National Speech office or at home (based on trainer availability). If we are unable to provide you with tutoring services, we will be able to provide you with an appropriate referral.
Tutoring
Tutoring services are available in all academic areas for children grades K through 12. Our well trained tutors make learning fun. Tutoring can be provided at the National Speech office or at home (based on trainer availability). If we are unable to provide you with tutoring services, we will be able to provide you with an appropriate referral.
PACE Website
MAP-----Version 2.0 Coming Soon!
Marching Ahead to Progress, (MAP), is a computer program that designs home programs and teaches parents, educators and child development professionals how to instruct children with special needs. The Program is unique in three ways:1. Unique Philosophy: Children learn through play. Special needs children, however, often need help learning how to play. MAP achieves this by integrating a highly structured approach which is supported by play and sensory-based activities. This unique philosophy, the integration of structure, play and sensory programs, enhances a child's ability to learn and use new skills in everyday learning environments, like the playground or classroom.2. Learning Lab.: MAP features a Learning Lab that designs home programs, beginning with the development of imitation skills and ending with putting words together. Each step-by-step program focuses on teaching a specific concept and then applying that concept using play activities. Once a child consistently demonstrates that he/she understands what is being worked on, all the trainer has to do is key that information into the computer, and MAP will automatically introduce a more advanced program.3. Video Section: Video clips allow the trainer to observe experts teaching children. By watching the video clips trainers are coached on how to teach each child to focus their attention and to comply with a request using language. The video clips also allow the trainer to (a) listen to the correct tone of voice when directing a child to follow a direction, (b) gesture appropriately when prompting a child's response, (c) appear calm when the sessions are not going well and (d) avoid using body language that may signal the wrong message. This is a user-friendly program that can be easily implemented and incorporated into the home or school environment.
Marching Ahead to Progress, (MAP), is a computer program that designs home programs and teaches parents, educators and child development professionals how to instruct children with special needs.
The Program is unique in three ways:
1. Unique Philosophy: Children learn through play. Special needs children, however, often need help learning how to play. MAP achieves this by integrating a highly structured approach which is supported by play and sensory-based activities. This unique philosophy, the integration of structure, play and sensory programs, enhances a child's ability to learn and use new skills in everyday learning environments, like the playground or classroom.
2. Learning Lab.: MAP features a Learning Lab that designs home programs, beginning with the development of imitation skills and ending with putting words together. Each step-by-step program focuses on teaching a specific concept and then applying that concept using play activities. Once a child consistently demonstrates that he/she understands what is being worked on, all the trainer has to do is key that information into the computer, and MAP will automatically introduce a more advanced program.
3. Video Section: Video clips allow the trainer to observe experts teaching children. By watching the video clips trainers are coached on how to teach each child to focus their attention and to comply with a request using language. The video clips also allow the trainer to (a) listen to the correct tone of voice when directing a child to follow a direction, (b) gesture appropriately when prompting a child's response, (c) appear calm when the sessions are not going well and (d) avoid using body language that may signal the wrong message.
This is a user-friendly program that can be easily implemented and incorporated into the home or school environment.
More Information Coming Soon.
Distance Therapy ProgramIn certain instances, therapy may be conducted via Skype. Typically, this is best for families who live far away, or who have limited mobility/transportation, but would still like to benefit from the programs offered at National Speech. An inital consultation at the National Speech office would be required, and then periodic in-office "check ups" would be conducted every 6-12 months. To find out more information, please contact us at (301) 493-0023 or contact_nationalspeech.com.
Distance Therapy Program
In certain instances, therapy may be conducted via Skype. Typically, this is best for families who live far away, or who have limited mobility/transportation, but would still like to benefit from the programs offered at National Speech. An inital consultation at the National Speech office would be required, and then periodic in-office "check ups" would be conducted every 6-12 months. To find out more information, please contact us at (301) 493-0023 or contact_nationalspeech.com.
ABA/VB Home ProgramsWhat is ABA (Applied Behavior Analysis) and VB (Verbal Behavior)? ABA and VB are specialized behavior programs that have been proven to teach children to communicate effectively.Is this right for my child? Determining appropriate services for your child can be difficult for any parent. With the variety of programs, services, therapies, approaches, etc. available to the general public, it can be confusing and frustrating to identify the right program for your child. Parents should answer the following questions: - Has your child been diagnosed with a developmental delay (autism, PDD, developmental language delay)? - Does your child master goals at the table but then fail to generalize these abilities in his or her natural enviroment? - Does your child attend during sessions because they are genuinely engaged in the task of learning or because he or she has been taught not to leave the teaching enviornment?Where do I begin? Call National Speech/Language Therapy Center, (301) 493-0023 to schedule a consultation with a speech-language pathologist.How will my child be evaluated? At National Speech, our approach is to look at the "whole" child. Therefore, our assessment for children with Autism Spectrum Disorders looks at all areas of development--how your child communicates, how your child learns, and how your child interacts with others. This assessment is conducted with parent input and can take two hours, or be spread out over the course of a few days depending on the age and ability of the child.
ABA/VB Home Programs
What is ABA (Applied Behavior Analysis) and VB (Verbal Behavior)?
ABA and VB are specialized behavior programs that have been proven to teach children to communicate effectively.
Is this right for my child?
Determining appropriate services for your child can be difficult for any parent. With the variety of programs, services, therapies,
approaches, etc. available to the general public, it can be confusing and frustrating to identify the right program for your child.
Parents should answer the following questions:
- Has your child been diagnosed with a developmental delay (autism, PDD, developmental language delay)?
- Does your child master goals at the table but then fail to generalize these abilities in his or her natural
enviroment?
- Does your child attend during sessions because they are genuinely engaged in the task of learning or because he
or she has been taught not to leave the teaching enviornment?
Where do I begin?
Call National Speech/Language Therapy Center, (301) 493-0023 to schedule a consultation with a speech-language pathologist.
How will my child be evaluated?
At National Speech, our approach is to look at the "whole" child. Therefore, our assessment for children with Autism Spectrum
Disorders looks at all areas of development--how your child communicates, how your child learns, and how your child interacts with
others. This assessment is conducted with parent input and can take two hours, or be spread out over the course of a few days
depending on the age and ability of the child.
Signs of Autism
Please watch this news broadcast which is based on a study conducted by the American Academy of Pediatrics. It shows both typically developing children and children with autism. If you have any concerns about your child, this video will give you valuble information.
This is a video about stuttering, by children who stutter. It gives valuble insight into the feelings and emotions associated with stuttering. If your child exhibits any of the symptoms of stuttering, please feel free to contact us to set up a consulation.
To learn about typical sound development, check out our book:
Sound Development
By age 3:
h as in he
zh as in measure
y as in yes
w as in we
ng as in sing
m as in me
n as in no
p as in up
k as in car
t as in to
b as in be
g as in go
d as in do
By age 3 years
and 6 months:
f as in if
By age 4 years:
l as in lay
sh as in she
ch as in chew
By age 4 years
and 6 months
j as in jaw
s as in so
z as in is
By age 5 years:
r as in red
By age 6 years:
v as in van
By age 7:
th as in this
By age 8 years:
th as in thing
For more information please call us:
(301) 493-0023
Information obtained from:
Typical Speech Development
THE GRADUAL ACQUISITION OF THE SPEECH SOUND SYSTEM
Copyright © Caroline Bowen 1998 All rights reserved
<--- Click Here!
Speech Therapy
For concerns in the area of "autism" we
recommend the following services:
ABA/VB
For concerns in the area of "language delays" we
For concerns in the area of "stuttering*" we
*National Speech has therapists who specialize in fluency disorders.
For concerns in the area of "tongue thrusting" we
