Creating Meaningful Communication

E komo mai to Total Communication Speech Therapy - a private pediatric speech therapy clinic where we honor all modes of communication: gestures, signs, speech, and alternative & augmentative communication (AAC). Changing keiki’s and their ‘ohana’s lives one word at a time.

Speech Therapy Services

Language Therapy

Helping keiki build the foundation for understanding and using language—supporting skills like vocabulary, grammar, following directions, and expressing thoughts clearly.

Articulation and Phonological Therapy

We work on speech sound development to help your keiki pronounce words more clearly and confidently, making it easier for others to understand them.

AAC Therapy

Using tools like picture systems, speech-generating devices, and sign language, we support keiki who need alternative ways to communicate and connect with the world.

Telehealth Therapy

Convenient, flexible, and effective—our virtual therapy sessions bring high-quality speech services to your home, wherever you are.

Childhood Apraxia of Speech

We provide specialized, evidence-based therapy for children with apraxia of speech—focusing on motor planning, consistency, and building clear, confident speech through repetition and support.

Speech & Language Assessments

We offer comprehensive evaluations to identify speech and language strengths and challenges. Assessments can be used to determine if your keiki qualifies for special education services through their school or to support a diagnosis and develop a private therapy plan tailored to their needs.

Voice Therapy

We support keiki experiencing voice difficulties such as hoarseness, strain, or pitch changes—helping them develop healthy voice habits for clear, strong communication.

Consultation to Private Schools

We partner with charter schools to support student success through screenings, observations, IEP collaboration, and tailored recommendations that fit each school’s needs.

Who we are

Aloha! At Total Communication Speech Therapy we have a passion for helping keiki communicate in ways that work best for them—whether spoken, signed, or supported by AAC.

We are passionate about meeting keiki where they are and using a total communication approach to empower every child to connect, express, and thrive.

 FAQs

  • We come to you! If you’re in West O’ahu we offer in-home services 1:1 thirty minute therapy. If you are anywhere else in the Hawaiian Kingdom, we can offer telehealth services.

  • Yes we do! We are currently credentialed with UHSA, and working with other insurance carriers to become an approved provider.

  • We understand that some insurances don’t cover speech and language therapy, as well as putting restrictions on the number of sessions covered, and other impositions. We offer private pay rate $75 for 30-45 min sessions (depending on the case).

  • An assessment is the first start of the process of evaluating a keiki - it is a battery (lots) of tests we use to examine what the child’s strengths and needs are. This can include eliciting language and speech through play, looking at pictures, talking about a short video, making movement with our faces, and having a caregiver interview. We use that information to let your insurance know your child needs therapy and request them to cover the cost of them. The assessment also is a great starting point for creating therapy goals.

  • Depending on your child’s custom-made communication goals, we will play and have fun while targeting those language and/or speech sounds for 30 minutes at your house or through a video call.

  • We see children from 12 months - 18 years old.

Contact Us

Have questions? Fill out some info and we will be in touch shortly. We can’t wait to hear from you!