Additional Information

What to Expect

New Programs

Speech Milestones

0-6 Months 7-12 Months 13-18 Months
19-24 Months 2-3 Years 3-4 Years
4-5 Years 5-6 Years 6-7 Years


0-6 Months
  • Repeats same sounds
  • Frequently coos, gurgles and makes pleasure sounds
  • Uses different cry to express different needs
  • Smiles when spoken to
  • Recognizes voices
  • Localizes sound by turning head
  • Listens to speech
  • Uses phonemes /b/,/p/, and /m/ in babbling
  • Uses sounds or gestures to indicate wants
7-12 Months
  • Understands no and hot
  • Responds to simple requests
  • Understands and responds to own name
  • Listens to and imitates some sounds
  • Recognizes words for common items
  • Babbles using long and short groups of sounds
  • Uses song-like intonation pattern when babbling
  • Uses large variety of sounds in babbling
  • Imitates some adult speech sounds and intonation patterns
  • Uses speech sounds rather than only crying to get attention
  • Listens when spoken to
  • Uses sound approximations
  • Begins to change babbling to jargon
  • Uses speech intentionally for the first time
  • Uses nouns almost exclusively
  • Has expressive vocabulary of 1 to 3 words
  • Understands simple commands
13-18 Months
  • Uses adult-like intonation patterns
  • Uses echolalia and jargon
  • Uses jargon to fill gaps in fluency
  • Omits some initial consonants and almost all final consonants
  • Produces mostly unintelligible speech
  • Follows simple commands
  • Receptively identifies 1 to 3 body parts
  • Has expressive vocabulary of 3 to 20 or more words
  • Combines gestures and vocalization
  • Makes requests for more of desired items
19-24 Months
  • Uses words more frequently than jargon
  • Has expressive vocabulary of 50-100 words
  • Has receptive vocabulary of 300 words
  • Starts to combine nouns and verbs
  • Begins to use pronouns
  • Maintains unstable voice control
  • Uses appropriate intonation for questions
  • Is approximately 25-50% intelligible to strangers
  • Answers "What's that?" questions
  • Enjoys listening to stories
  • Knows 5 body parts
  • Accurately names a few familiar objects
2-3 Years
  • Speech is 50-75% intelligible
  • Understands "one" and "all"
  • Verbalizes toilet needs
  • Requests items by name
  • Points to picture in book when named
  • Identifies several body parts
  • Follows simple commands and answers simple questions
  • Enjoys listening to short stories, songs and rhymes
  • Asks 1-2 word questions
  • Uses 3-4 word phrases
  • Uses some prepositions, articles, present progressive verbs, regular  plurals, contractions, and irregular past tense forms
  • Uses words that are general in context
  • Continues use of echolalia when difficulties in speech are encountered
  • Has receptive vocabulary of 500-900 words
  • Has expressive vocabulary of 50-250 words
  • Exhibits multiple grammatical errors
  • Understands most things said to him or her
  • Frequently exhibits repetitions 
  • Speaks with loud voice
  • Increases range of pitch
  • Uses vowels correctly
  • Consistently uses initial consonants
  • Frequently omits medial consonants
  • Frequently omits or substitutes final consonants
  • Uses approximately 27 phonemes
  • Uses auxiliary "is" including contracted form
  • Uses some regular past tense verbs, possessive morphemes, pronoun and imperatives
3-4 Years
  • Understands object functions
  • Understands difference in meanings
  • Follows 2 and 3 step commands
  • Asks and answers simple questions
  • Frequently asks questions
  • Produces simple verbal analogies
  • Uses language to express emotion
  • Uses 4 to 5 words in sentences
  • Repeats 6-13  syllable sentences accurately
  • Identifies objects by name
  • Manipulates adults and peers
  • Continues to use echolalia
  • Uses up to  6 words in sentences
  • Uses nouns and verbs
  • Is conscious of past and future
  • May repeat self often
  • Increases speech rate
  • Whispers
  • Masters 50% consonants and blends
  • Speech is 80% intelligible
  • Sentence grammar improves
  • Tells two events in chronological order
  • Engages in long conversations
  • Uses contractions
4-5 Year Olds
  • Counts to 5
  • Understands concept of numbers up to 3
  • Continues understanding spatial concepts
  • Recognizes 1-3 colors
  • Has extensivereceptive vocabulary
  • Counts to 10 by rote
  • Listens to short simple stories
  • Answers questions about functions
  • Uses grammatically correct sentences
  • Has extensive expressive vocabulary
  • Uses sentences of 4-8 words
  • Answers complex 2 part questions
  • Asks for word definitions
  • Speaks at rate of approximately 185 words per minute
  • Reduces total number of repetitions
  • Enjoys rhymes, rhythms, and nonsense syllables
  • Significantly reduces number of persistent sound omissions and substitutions
  • Frequently omits medial consonants
  • Speech is usually intelligible to strangers
  • Talks about experiences at school, at friends' homes, etc.
  • Accurately relays long story
5-6 Years Old
  • Names 6 basic colors and 3 basic shapes
  • Follows instructions given to group
  • Follows 3 part commands
  • Answers verbally to "hi" and "how are you"
  • Uses past tense and future tense appropriately
  • Uses conjunctions
  • Has receptive vocabulary 
  • Names opposites
  • Sequentially names days of week
  • Counts to 30 by rote
  • Continues to drastically increase vocabulary
  • Reverses sounds occasionally
  • Exchanges information and asks questions
  • Uses sentences with details
  • Accurately relays a story
  • Sings entire song and recites nursery rhymes
  • Communicates easily with adults and other children
  • Uses appropriate grammar in most cases
6-7 Years Old
  • Names some letters, numbers and currencies
  • Sequence numbers
  • Understands left and right
  • Uses increasingly more complex descriptions
  • Engages in conversations
  • Has receptive vocabulary of approximately 20,000 words
  • Uses sentence length of approximately 6 words
  • Understands most concepts of time
  • Recites alphabet
  • Counts to 100 by rote
  • Uses most morphologic markers appropriately
  • Uses passive voice appropriately

"We work to involve parents in identifying their child's strengths as well as deficits…A child with speech and language problems can be gifted in other areas."

Nancy T. Lotowycz,
M.S. CCC-SLP, Director