Pediatric Speech Therapy with Purpose


In-home pediatric speech therapy in Manhattan and Brooklyn, with clear goals, true connection, & caregiver communication.

IN HOME SPEECH therapy

WITH CLEAR AND MEASURABLE GOALS

Advanced training in approaches not widely available in traditional therapy settings

Sessions featuring a targeted balance of play and structured teaching of new skills

Consistent caregiver communication so that progress carries into daily life

An intentional approach to speech therapy


Families often come to us wanting a clearer understanding of their child’s goals and progress. Our approach is thoughtfully built around that clarity.

We follow your child’s lead to build connection and engagement, all while using structured, evidence-based strategies to target meaningful & specific goals.

Playful, but purposeful

Focused on underlying skills

We look beyond surface-level challenges to support the foundation of communication, including play, engagement, and regulation.

Clear goals & communication

You’ll always know what your child is working toward, how progress is being made, and how to support it at home. We provide ongoing check-ins and support throughout the week so that progress doesn’t stop when the session ends.

You’re an active part of the therapy team. We provide guidance and support to best encourage skill generalization, and collaborate closely with your child’s circle of teachers and other service providers.

Collaborative by design

We’re a good fit

  • Is unintelligible or difficult to understand

  • Is not yet talking or is using few words

  • Needs support with play, social skills, or behavior

  • Is diagnosed with autism spectrum disorder

  • Struggles with oral motor skills / does not breathe nasally

  • Has difficulty feeding or eating a variety of foods

If your child…

“The progress we’ve seen with Nicole has been absolutely incredible. Our son loves her, and has become much more connected and communicative with me since they began working together. She has a unique approach that we haven’t seen utilized within therapy sessions before.”

Mother of a client

Steps to Starting With Us


1

Complimentary Consultation

We start with a conversation to understand your child, from their interests and strengths, to any speech, language, oral motor, social skills, or feeding concerns. We will discuss what progress you may be wanting to see, and what your family is hoping to get out of speech therapy.

2

Comprehensive Evaluation

Informal measures are insightful, but you deserve a full snapshot of your child’s meeting of developmental milestones through formal testing as well. We use a thoughtful mix of formal and informal assessment (catered to each individual child’s tolerance of testing and skill level) to understand your child as a whole.

3

Personalized therapy Plan

You will receive clear, targeted goals tailored to your child in the areas of speech, language, play & pragmatics, myofunctional skills, and feeding (each if applicable), along with a plan that balances engagement with structure so progress is both meaningful and measurable.

4

Ongoing Therapy and Support

Sessions are engaging and purposeful, with regular caregiver check-ins throughout the week. We always want you to feel comfortable supporting your child’s skill development, and have a passion for parent support — whether it be useful strategies, general tips, or toy recommendations.

Why Families Trust Saltwater Speech

Advanced training in evidence-based approaches not widely offered in traditional therapy settings.

Specialized, extensive experience working with children on the autism spectrum or who have social communication challenges.

Thorough assessment and frequent communication so that families always know what their child is working on.

A balance of warmth, structure, and clinical expertise, with services delivered in the convenience of the family home.

Individualized, evidence-based care

In addition to experience with traditional speech therapy methods, we have specialized, advanced training and/or certifications in:

  • UCLA’s JASPER Therapy

  • PROMPT

  • SOS Approach to Feeding

  • Myofunctional Therapy

  • Lively Letters Literacy Program

  • Behavioral methods

  • Articulation strategies

  • And more