Specializing In

Pediatric Speech, Language & Learning Center has been helping children throughout New Jersey overcome their communications difficulties. We provide speech and language services for children who present with communications impairments due to apraxia, voice disorders, auditory processing disorders, and autism. In addition, we specialize in the following disorders:


Articulation, or speech, refers to the sounds produced that make up a language.

Typically, young speakers of Standard American English produce most vowels and consonants such as /b, d, m, and p/ by 36 months. Oftentimes these sounds are heard in early babble such as when a baby produces "mama" or "dada," and can be produced as young as 10 months.

However, the three sounds that are most often mispronounced by ages five and six are the /s/ (e.g., the tongue may protrude between the teeth as in a lisp), /r/ (e.g., the child may substitute /w/ for /r/ as in "wed" for "red"), and lastly, /th/ (e.g., "thumb" may sound like "fum").

While some children may not accurately produce these sounds until age 8, most children accurately produce all sounds by age six.

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Language Delays

A language delay can be either a receptive, expressive, or mixed language delay.

A receptive language delay is considered a delay in understanding spoken language, such as when a child has difficulty carrying out multi-step directions, or when a child may answer a question with an answer that does not pertain to the question.

An expressive language delay may refer to a delay in putting words together, or a delay at a higher level, in which the child may not ask questions or use an age-appropriate sentence structure.

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Stuttering is an incoordination, of breathing, articulation, and phonation, also known as a Dysfluency. In simple terms, stuttering is considered a disruption of speech and the timing pattern of speech.

Children as young as two may demonstrate stuttering behaviors, such as repeating a word or sound such as "M-M-M-Mommy, I want juice." These repeated sounds are often in the beginning positions of words and are sometimes accompanied by eye twitching and facial grimaces while the child is struggling to state the word.

While "developmental dysfluency" is considered normal if stuttering events are less than 10 percent of a child's conversation, and occur during a normal achievement of a language milestone (e.g., combining three-to-four words to make a sentence), developmental stuttering dissipates in a matter of weeks to a couple of months and is hard to diagnose at the onset of the stuttering.

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Pediatric Speech, Language
& Learning Center
230 Sherman Avenue
Berkeley Heights | NJ | 07722

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