Pediatric Speech Therapy

We help your child find their voice.

How we do that…

Play-based, engaging sessions

In-home pediatric speech therapy session in Shavano Park using play-based strategies to encourage child communication.

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.

What Our Clients Are Saying

Sawsan is AMAZING!! I wish I could give her more than 5 stars - she has been an incredible resource for our family and our 14-month old has over 30 words now!

— Sarah M.

Our Speech and Language Therapy Services

  • Pediatric speech therapist working on articulation skills with a child during a play-based speech therapy session in Hollywood Park and Hill Country Village (78232) San Antonio.

    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.

  • Pediatric speech therapy session with a child playing on a colorful mat while speech therapist guides him in n Castle Hills and Churchill Estates (78213, 78248) in San Antonio

    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.

  • Play-based pediatric speech therapy in Vista Del Norte in San Antonio: child using language and speech therapist  blowing bubbles

    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.

  • Child building communication and social skills during pediatric speech therapy in Deerfield in San Antonio

    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.

  • Parent coaching through pediatric speech therapy in Shavano Park in San Antonio

    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.

  • Early intervention speech therapy in Deerfield, in San Antonio.

    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

Speech Therapy That Comes to You

in North Central San Antonio

In-home pediatric speech therapy in Deerfield in San Antonio: bringing play-based speech therapy to your home.

IN-HOME

Skip the clinic commute and let the therapy come to you! At Small Talk Speech Therapy, we provide specialized in-home speech therapy services to children throughout the San Antonio area. By working within your child’s actual daily routines, we make progress feel natural and stress-free. We don't just work with your child; we partner with you, showing you exactly how to use helpful speech strategies at home to keep the momentum going between visits.

Pediatric speech therapy in Vista Del Norte in San Antonio at preschool or daycare: children practicing communication skills during a speech therapy session.

COMMUNITY

Small Talk Speech Therapy provides specialized pediatric speech therapy at daycare centers and preschools throughout North Central San Antonio. By bringing our services directly to your child’s classroom, we eliminate the stress of mid-day travel for busy families. We pride ourselves on collaborating closely with teachers and childcare staff to create a unified, team-based approach. This ensures your child’s communication goals are supported across every setting, all while simplifying your family’s daily schedule.

Small Talk Speech Therapy brings expert, evidence-based pediatric speech therapy directly to your living room or your child’s daycare. We serve families all across 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.