We are open for business both face to face and Telehealth.
The waiting room is closed until further notice to protect the safety of our staff, families and clients.
Families call the office from their car, the therapist meets them outside to get their child and return their child.
If the family is scheduled for an evaluation only ONE parent is allowed and no other children can attend. 

If you been exposed to COVID we ask that you call the office and cancel your appointments.
If your child has to cancel multiple times there is no guarantee that your standing appointment can be saved upon your return. 


Creve Coeur, MO 314.567.4707
St. Peters, MO 636.922.4700
Paducah, KY 270.443.5712
Murray, KY 270.767.6397



Are you looking for tools to expand your child’s language skills at home? Let us help! We suggest applying basic language concepts to find new ways to play with your child’s old toys.

What are basic language concepts? Basic language concepts are the building blocks for successful and efficient communication skills. Knowledge of basic language concepts impacts your child’s ability to process, interpret, recall, and execute everyday oral directions of increasing length and complexity.

Applying basic language concepts to everyday play will assist your child with their vocabulary, potential academic success, and participation in social games and routines.

See below for examples of how to apply these concepts to your routine:


Basic Language Concepts



Utilize it!




under, inside, outside, up

top, bottom, behind, in front

on, off

Simon says


farm set

stacking cups


doll house

Put your toy under the table.


Put the pig on top of the barn.


Take your hat off.



few, empty, many, full, alone, little, more, most, one, two


cooking set


stacking cups

sand box


Show me which bowl has more grapes.


Fill the bucket up with sand.


The carton of eggs is full.


first, last, before, after

race cars

train set


Mr. Potato Head

board games

Put Thomas first in line.


Put Mr. Potato’s eyes on first and his hat on last.


After you wash your hands, you can eat a snack.


cold, hot, hard, soft, dry, wet, smooth, rough, thin, thick, slow, fast, red, blonde, white, old, new,

I Spy

Guess Who

kitchen set

picture books

I spy something wet.


Show me which food tastes cold.


Who has red hair?