Pediatric Speech Therapy
in North Central San Antonio
Play focused. Evidence based. Family centered.
We help your child find their voice.
How we do that…
Play-based, engaging sessions
We are a dedicated pediatric speech therapy private practice in San Antonio, Texas. Through play-based, engaging sessions, we meet each child where they are and support communication in everyday moments. We work closely with families, sharing simple strategies to encourage progress beyond the therapy room. With a warm, personalized approach, our team helps children build confidence, connect with others, and find their voice.
Our Speech and Language Therapy Services
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Articulation Therapy
We support your child in practicing new sounds and speech patterns through fun, engaging games and activities. Our focus is helping them use age-appropriate sounds in meaningful words.
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Receptive Language Therapy
We help your child strengthen receptive language and listening skills through play-based therapy. Our focus is improving understanding of spoken language in meaningful, real-life situations.
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Expressive Language Therapy
We help your child build expressive language skills through play-based and meaningful interactions. Our focus is supporting word use, sentence building, and meaningful communication.
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Pragmatic Language Therapy
We help your child develop social communication skills through play-based and meaningful interactions. Our focus is supporting appropriate communication, social understanding, and connection with others.
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Parent Coaching
We help parents learn practical ways to support their child’s speech and language development. Our focus is coaching families with fun, easy-to-use strategies for home and everyday routines.
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Early Intervention
The first three years are a critical window for language growth. At Small Talk Speech Therapy, we specialize in play-based intervention for late talkers and toddlers with developmental delays. By getting down on the floor and using your child’s favorite toys, we turn therapy into a natural, engaging experience. Our focus is on building first words, improving listening skills, and empowering parents with practical strategies for home. Let’s work together to give your child a confident start in their communication journey.
Getting Started with Speech Therapy
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![Phone consultation for pediatric speech therapy to discuss a child’s speech and language concerns in Deerfield San Antonio]()
Step 1.
Phone Consultation
Start by sharing information about your child’s speech, language, or communication concerns. We use this information to determine whether a comprehensive speech-language evaluation is recommended and if speech therapy services are the right next step.
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![Speech-language evaluation for a child with a pediatric speech therapist and parent present in Vista Del Norte in San Antonio]()
Step 2.
Speech & Language Assessment
We will conduct a comprehensive speech and language evaluation to assess your child’s speech sounds, expressive and receptive language skills, pragmatics skills and overall communication development. This assessment may include standardized testing, parent questionnaires, clinical observation, and a detailed case history review to determine whether speech therapy services are recommended. -
![Pediatric speech-language pathologist reviewing assessment results and therapy recommendations with a parent in Churchill Estates in San Antonio]()
Step 3.
Assessment Results, Parent Guidance & Therapy Recommendations
After the speech and language evaluation, we review your child’s results in detail and explain their speech, language, and communication strengths and areas of need. You’ll receive clear therapy recommendations, guidance on next steps, and answers to all your questions about speech therapy services and how to best support your child at home. -
![Pediatric speech-language pathologist providing play-based speech therapy to support a child’s speech, language, and communication skills in 78216 San Antonio]()
Step 4.
Receiving Speech Therapy
Our play-based pediatric speech therapy is tailored to your child’s individual speech and language needs. We offer mobile speech therapy services in your home, daycare, or community settings, helping children develop speech, language, and communication skills in everyday environments. Our approach supports expressive and receptive language, articulation, social communication, and overall communication development for children of all ages.
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![Pediatric speech-language pathologist discussing child’s speech therapy progress with parent during check-in in Shavano Park in San Antonio]()
Step 5.
Speech Therapy Progress & Parent Check-Ins
We believe that ongoing communication about your child’s speech and language goals is essential throughout the pediatric speech therapy process. Our team of speech-language pathologists is available between sessions by phone or email to answer questions, provide updates on speech and language progress, and offer guidance to support your child’s communication development at home and in daily life.
Speech Therapy That Comes to You
in North Central San Antonio
IN-HOME
We bring speech therapy to you! Practicing speech and language skills at home can help your child learn to communicate in their everyday routines. We will also show you how to use helpful strategies at home so that your child continues to grow between sessions.
COMMUNITY
Speech therapy sessions can be scheduled during your child’s regular daycare or preschool day. We enjoy collaborating with teachers and staff to ensure a team-based approach that supports your child’s development across settings while simplifying your family's schedule.
Small Talk Speech Therapy provides expert pediatric speech therapy services throughout North Central San Antonio.
Insurance & Payment Options
Insurance Options
We are in-network provider with Blue Cross and Blue Shield of Texas(BCBSTX). We are participating providers for the following plans:
BlueChoice PPO (BCA)
Blue Essentials (HMO)
Blue Advantage HMO (BAV)
MyBlue Health (BFT)
Health Select (HME)
Blue Premier HMO (HMH)
Blue High Performance Network (HPN)
Blue Cross Medicare Advantage℠ (HMO and PPO)
WellMed MA HMO (WEL)
Dual Eligible Special Needs Plan (SNP)
As coverage varies by plan, we recommend contacting your provider for specific details.
Private Pay
Skip the wait for referrals or insurance approvals and get treatment on your schedule.
Enjoy straightforward, hassle-free therapy without insurance “qualifications.”
With private pay, your child can receive as many therapy sessions as they need.
Please check back frequently for updates, as we are actively working on becoming in-network with several insurance providers to better serve our San Antonio community.