Services

At Speech Pathways Therapy Center, we provide individualized speech and language therapy for children of all ages. Our approach is play-based, engaging, and tailored to each child’s strengths and areas of potential improvement.

We support children who experience challenges with:

  • Expressing their wants and needs clearly
  • Understanding directions and language
  • Building vocabulary and sentence structure
  • Eating and feeding safely and effectively
  • Using language to describe, share, and narrate experiences
  • Social communication and interaction skills

Our sessions focus on functional communication, helping children communicate effectively at home, school, and in their community. We collaborate closely with families to ensure strategies carry over beyond the therapy room.

Areas Addressed Include:

  • Expressive Language Delay/Disorder
  • Receptive Language Delay/Disorder
  • Pragmatic (Social) Language Skills
  • Narrative language skills (storytelling, sequencing, and event description)
  • Late Talkers & Early Language Development
  • Speech Sound Disorders (Articulation & Phonological Skills)
  • Motor Speech Disorders (e.g., characteristics consistent with apraxia of speech)
  • Gestalt Language Development patterns
  • Oral rest posture, tongue function, and orofacial muscle coordination
  • Social communication differences related to neurodivergent profiles
  • Bilingual Language Development (English/Spanish) and language difference vs. disorder
  • Feeding and oral motor concerns, when applicable

 

Our Pediatric Speech Therapy Services

We provide comprehensive, individualized speech and language evaluations to better understand your child’s communication skills and determine the most appropriate next steps.

Our evaluations combine standardized testing and play-based assessment to capture how your child communicates in both structured and natural settings.

Evaluations may include:

  • Standardized and play-based assessments
    • Parent interview and developmental history
    • Observation of communication during play
    • Assessment of speech, language, and social communication skills
    • Feeding/oral motor assessment when needed
    • Bilingual (English/Spanish) evaluation when applicable

Following the evaluation, families receive a clear, detailed written report outlining strengths, areas of need, and personalized recommendations. We take time to ensure you feel supported and confident, guiding you through results and next steps so you can make informed decisions for your child.

We help children who have difficulty producing speech sounds clearly or are hard to understand.  

Your child may benefit from this service if they:

  • Substitute or omit sounds (e.g., “tat” for “cat”)
  • Find it difficult for others to understand
  • Struggle with age-appropriate speech sound development

Our therapy uses evidence-based, motor-based approaches to improve speech clarity and confidence. We focus on helping your child produce sounds accurately and consistently across words, phrases, and conversation.

Common areas targeted:

  • Speech sound errors
  • Phonological processes
  • Childhood Apraxia of Speech (motor planning difficulties)

We support children in developing social communication in ways that feel authentic, meaningful, and empowering for them.

Children may benefit from support in areas such as:

  • Initiating or sustaining interactions in ways that feel comfortable
  • Interpreting and responding to social cues, including body language and tone
  • Participating in shared interactions, including turn-taking and collaborative play
  • Understanding different perspectives and navigating social problem-solving

Our approach is neurodiversity-affirming, honoring each child’s unique communication style. We focus on building functional, self-advocacy-driven skills that support connection, confidence, and meaningful participation across environments.

For children who may benefit from practicing these skills with peers, we also offer social skills groups in a supportive, guided setting to promote real-life application and connection.

We provide specialized feeding therapy for infants and children having trouble with eating, drinking, or transitioning to new textures.

Feeding challenges may include:

  • Limited food variety or picky eating
  • Difficulty chewing or swallowing
  • Gagging, coughing, or refusal of foods
  • Difficulty transitioning from bottle to straw or cup

We focus on improving oral motor skills, coordination, and confidence with food in a supportive, child-led environment. We work closely with families to create practical strategies that fit into daily routines.

We support:

  • Pediatric Feeding Disorders
  • Oral motor skill development
  • Bottle, straw, and cup transitions
  • Texture progression and food acceptance

We specialize in orofacial myofunctional therapy, addressing how the muscles of the face, tongue, and mouth function at rest and during movement.

This support is especially important for children who may have:

  • Tongue ties (tethered oral tissues)
  • Mouth breathing or open mouth posture
  • Difficulty with proper tongue placement
  • Feeding or speech challenges related to oral function

Our therapy focuses on improving strength, coordination, and proper movement patterns to support breathing, feeding, and speech development.

We provide comprehensive support before and after tongue-tie or lip-tie release procedures.

Pre-frenectomy therapy includes:

  • Preparing oral structures for optimal outcomes
  • Building strength and coordination
  • Educating families on expectations and home exercises

Post-frenectomy therapy includes:

  • Supporting healing and preventing reattachment
  • Improving range of motion and function
  • Guiding families through exercises and follow-up care

We collaborate closely with trusted providers, including pediatric dentists and ENTs, to ensure continuity of care and the best possible outcomes for your child.

We proudly provide bilingual evaluations and therapy in both English and Spanish.

We recognize that bilingualism does not cause language delays. Our assessments are culturally and linguistically responsive, allowing us to thoughtfully distinguish between language differences and communication disorders.

We take a flexible, individualized bilingual approach, supporting both languages as they develop and interact. Therapy is guided by each child’s unique language profile, strengths, and communication needs across environments.

We support families by:

  • Providing therapy that integrates and supports both languages as appropriate
  • Educating caregivers on bilingual language development and what to expect
  • Offering practical strategies to promote language growth at home

Our goal is to honor and support the child’s full communication system, helping them build skills that are functional, meaningful, and transferable across settings and languages.

Patient Reviews

Speech Pathways Therapy Center proudly provides speech therapy, feeding therapy, and orofacial myofunctional therapy to children and families in Boerne, Fair Oaks Ranch, Leon Springs, The Dominion, and the greater San Antonio area—including Stone Oak, Bulverde, Helotes, and New Braunfels—with bilingual services available in English and Spanish.

Speech Pathways Therapy Center

136 Old San Antonio Rd., Suite 101
Boerne, Texas 78006
Phone: 830-331-4128
Fax: 855-461-3269
info@speechpathwaystherapy.com

Hours

(By Appointment Only)
Monday: 3pm-7pm
Tuesday-Friday: 9am-7pm
Saturday: 9am-12pm

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