Evaluations, Consultations, and Direct Services for Persistent Articulation Errors

Many children have early difficulties with speech that go on to completely resolve in the first years of school. However, a subset of people continue to have difficulty with speech into adolescence and adulthood despite years of therapy. These errors, labeled “persistent” beyond 8-9 years of age, are often characterized by difficulty with a few select sounds (e.g. “ch”, “dj”), certain consonant combinations, and/or multisyllabic words.

With the right support, these difficulties can be overcome at any age. However, most people either did not receive the right kind of therapy or the right intensity to make the leap. Persistent articulation errors often require a listening component, a motor production component, specific feedback strategies, and frequent practice to make lasting change.

Other Services We Offer

Latitude offers evaluations, consultations, and direct services in English, Russian, and Spanish.

Language Development for Ages 0-8

Increasing intentional communication and first words
Increasing vocabulary
Following directions and understanding
Using phrases and sentences
Supporting communication through sign-language and Augmentative & Alternative Communication (AAC)
Supporting play development

Learn More About Language Development

Bilingual Evaluations & Therapy

Childhood Apraxia of Speech

Developmental Delays

Language Delays

Parent Communication Coaching

Reading Readiness

Speech Sound Production for Ages 0 to Adults

Difficulty using a variety of sounds in speech
Errors on select sounds, such as "S", "L", and "R"
Difficulty coordinating sounds in speech
Difficulty speaking clearly & being understood

Learn More About Speech Sound Production

Accent Modification & Intelligibility Enhancement

Articulation Disorders

Lisps

Persistent Articulation Errors

Phonological Disorders

Speech Delays

Flexible Speech Therapy Solutions

With our innovative and evidenced-based methods, we strive to provide you with the highest quality personalized care that you deserve. We offer a combination of flexible options to fit your family’s busy schedule.

In Home Speech Services

Currently available for those located in the North Shore of Massachusetts:

Mobile speech therapy services conveniently provided in home, daycare, or school settings. This approach works best for direct therapy with toddlers and preschoolers, and older clients who need hands on help with placement for speech production

Hybrid Speech Therapy Services

The perfect mix for geographically distant clients who prefer online services and benefit from in-person check-ins.

A hybrid approach is recommended for clients who generally do well with online therapy but need periodic hands-on guidance for articulatory placement.

What Our Clients are Saying

Eva M.

Latitude Speech Therapy has been such a wonderful fit for my ten year old daughter. Dianna Brenner-Miller has truly transformed the way my daughter views her articulation disorder. Dianna’s warmth, enthusiasm, encouragement and creative approach has given her the tools to believe in herself and has given her newfound confidence and strengthened her overall self-esteem. My husband and I are amazed by all of her progress over the past 6 months of working with Diana and have certainly recognized significant improvements in her speech. Diana gives wonderful feedback and communication and she is always flexible and understanding. We feel so fortunate that our paths have crossed and look forward to seeing our daughters continued growth and progress with Diana!

JD B.

Simply stated, you will be hard-pressed to find another speech therapist with more knowledge, patience, compassion, empathy and respect for both you and your child. Our 12-year old son has been receiving speech therapy since the age of 2. We found Diana after an exhaustive search because we knew our son was not progressing in a timely fashion with his old speech therapist. In just six months she has brought out a new side of him. Diana works hard, going above and beyond to find ways to have him engage in the sessions and to connect with her instructions. He is much more confident, and his "R" sound is really coming together. Progress is Power and Diana Rocks! You will be so happy you read this review and then chose to work with her.

Steve A.

Diana is a superb multi-lingual speech pathologist and consummate professional who has provided speech therapy in Russian to our son since he was a young toddler diagnosed with a speech disability. Diana is extremely bright, knowledgeable, up to date with current bilingual and other research studies, and Diana is very talented, insightful and caring. During Covid and when we are out of state, Diana offers remote sessions, she is able to keep our son engaged and focused despite his attention deficits and impulsivity, she provides play-homework that is specific for his needs and development, and Diana is very accommodating when we have schedule conflicts. Diana also has been very responsive and a great support and advocate to help our son qualify for IEP and other school programs, and her services have been invaluable to help prepare our son for his very successful Kindergarten experience. We cannot recommend Diana highly enough, and we feel blessed and very fortunate that we found Diana to help enrich our son’s life and empower his critical early development, and for his continuing successful development in the coming years.

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Speech Therapy Services for Persistent Articulation Errors