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

"Early Intervention is critical to your child's success. If you have questions regarding your child's developmental milestones, a speech and language screening is recommended."

Susan Montgomery,
Speech-Pathologist