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.

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Speech Therapy Services

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Language Therapy

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

Child's hands playing with two toy cars on a wooden surface.

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.

A young boy with brown hair, wearing glasses, a light gray T-shirt, and dark shorts, is sitting on colorful foam puzzle mats and using a tablet device with a rugged case.

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.

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Telehealth Therapy

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

Book a FREE 15 min consultation

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FAQs

This will be a phone call where we talk about your child and how they communicate. The speech and language pathologist will give you recommendations, such as tips of what to do at home, or recommend further speech and language evaluation.
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 $100 for 30-45 min sessions (depending on the case).
\Our private practice can provide with you with a Superbill to request reimbursement from your health insurance.
We come to you! If you’re in West O’ahu we offer in-home and in-daycare (The Cole Academy Kapolei, Seagull School Sea Pointe Ewa) services one-to-one 30-45 minute therapy. If you are anywhere else in the Hawaiian Kingdom, we can offer telehealth services.
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 30-45 minutes at your daycare, home or through a video call.
We see children from 12 months - 14 years old.

What We Believe In

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.