Speech Therapy Clinics in San Antonio, TX
Speech Therapy Clinics in San Antonio, TX
- 225 E Sonterra Blvd, Ste 120, San Antonio, TX 78258
- (210) 495-9944
- stoneoakspeech.com
- Speech and language delays, speech sound disorders, stuttering, oral-motor therapy, pediatric feeding, and reading readiness
- What they're known for: A Stone Oak clinic that spans the full early-childhood communication spectrum — from speech sound disorders and stuttering to feeding and pre-literacy. It's a convenient north-side option for families who want a single clinic that can grow with a child from toddler talk through reading readiness.
- 18830 Stone Oak Pkwy, Ste 101, San Antonio, TX 78258
- (210) 920-4357
- theheartoftherapytexas.com
- Articulation and phonology, receptive and expressive language, fluency, and pragmatics/social communication
- In-network with Blue Cross Blue Shield of Texas, Traditional Texas Medicaid, and Community First Health Plans
- What they're known for: A Stone Oak practice that pairs a broad pediatric scope with a family-friendly insurance lineup — including Traditional Texas Medicaid and locally based Community First Health Plans — making it accessible to a wide range of San Antonio families. Telehealth is available on a case-by-case basis.
- North San Antonio (Stone Oak area); in-home and teletherapy service area
- (726) 233-5620
- bluesagespeech.com
- Articulation, receptive and expressive language, pragmatics, autism support, and AAC
- Private-pay
- What they're known for: An in-home and teletherapy practice serving north San Antonio, ideal for families who prefer therapy in the child's own environment or who want the flexibility of virtual sessions. Its AAC and autism focus suits children who communicate in ways beyond spoken words.
- 136 Old San Antonio Rd, Ste 101, Boerne, TX 78006 (serves the greater San Antonio area)
- (830) 331-4128
- speechpathwaystherapy.com
- Speech and language disorders, feeding therapy, and orofacial myofunctional therapy; bilingual Spanish services
- What they're known for: A Boerne clinic just northwest of the city that offers bilingual Spanish therapy alongside feeding and myofunctional work — a strong fit for Spanish-speaking households in the San Antonio and Hill Country corridor who want evaluation and treatment in their home language.
- 1208 N Walnut, New Braunfels, TX 78130 (serves the greater San Antonio area)
- (830) 214-0866
- crossroadstherapyclinic.com
- Articulation, childhood apraxia of speech, feeding disorders, tongue- and lip-tie, and oral placement therapy
- What they're known for: A New Braunfels clinic on the I-35 corridor between San Antonio and Austin with deep expertise in motor-speech and feeding — including childhood apraxia, oral placement therapy, and tethered-oral-tissue (tongue/lip-tie) support that draws families from across the metro.
- 28604 I-H 10 West, Ste 8, Boerne, TX 78006 (serves the greater San Antonio area)
- (830) 755-8853
- connectionstherapytx.com
- Speech-language therapy, feeding therapy, orofacial myofunctional therapy, and early-intervention screenings
- What they're known for: An I-10 West clinic in Boerne that emphasizes early identification, with early-intervention screenings alongside feeding and myofunctional therapy. Convenient for families on San Antonio's far northwest side and the Boerne/Helotes communities.
- 1001 Pat Booker Rd, Ste 101, Universal City, TX 78148 (also in-home and teletherapy; serves the greater San Antonio area)
- (210) 371-6896
- kiddotalk-speechtherapy.com
- Pediatric speech therapy and AAC for nonverbal children; bilingual Spanish services
- What they're known for: A Universal City practice serving the northeast side and Randolph AFB community with bilingual Spanish care and dedicated AAC support for nonverbal children. Clinic, in-home, and teletherapy options let families pick the setting that works best.
- 355-2 Spencer Ln, Ste 103, San Antonio, TX 78201
- (210) 698-9844
- circlecare4kids.com
- Speech and communication disorders, cognitive challenges, and feeding-related disorders for ages birth–20
- Accepts most insurances, including Traditional Texas Medicaid, CHIP, UnitedHealthcare, and Cigna
- What they're known for: A central San Antonio practice serving children from birth through age 20 with one of the broadest insurance lineups on this list — including Traditional Medicaid and CHIP — plus both clinic and in-home options that make consistent care easier for working families.
- 4600 Lockhill-Selma, Ste 101, San Antonio, TX 78249
- (210) 408-7300
- pedts.com
- Childhood apraxia of speech, SOS feeding approach, and DIR/Floortime (with speech, OT, and PT under one roof)
- What they're known for: A northwest-side multidisciplinary clinic blending apraxia and SOS feeding expertise with relationship-based DIR/Floortime — a good fit for children who need coordinated speech, OT, and PT. Teletherapy is also available.
- 3903 Wiseman Blvd, Ste 121 B, San Antonio, TX 78251
- (726) 242-5113
- marpediatrictherapy.com
- Speech and language therapy, Orton-Gillingham literacy, Natural Language Acquisition (gestalt language processing), and early intervention
- In-network with Aetna, Blue Cross Blue Shield, Tricare East, and Humana
- What they're known for: A west-side practice notable for its literacy and language-development specialties — Orton-Gillingham for reading and Natural Language Acquisition (gestalt) for children who learn language in scripts. Its Tricare East acceptance is a plus for San Antonio's many military families. Teletherapy is available.
What Does a Speech-Language Pathologist Treat?
Three things that are often collapsed into one. Speech is the sounds — articulation, clarity, stuttering. Language is the meaning — understanding what is said, and getting ideas out, whether in words, gestures, signs or a device. Feeding and swallowing is the mouth's other job, and speech-language pathologists assess and treat that too. Most toddlers referred for speech therapy have a language question rather than a speech one, and the therapy for that looks nothing like drilling sounds.
Conditions Speech Therapy Can Help With
Speech-language pathologists work with late talking and language delay, articulation and phonological disorders, childhood apraxia of speech, stuttering and fluency, social and pragmatic communication, autism, hearing loss, augmentative and alternative communication, and pediatric feeding and swallowing. Many clinics also offer evaluations for children whose difficulty has not yet been named.
How to Choose a Speech Therapist in San Antonio
The "best" speech therapist is the one who fits your child's specific needs, your family's language, your schedule, and your budget. Here's what to weigh:
- Check credentials. Look for an SLP who holds ASHA's Certificate of Clinical Competence (CCC-SLP) and a current Texas license. For specialized needs, ask about extra training — for example, PROMPT or oral placement therapy for motor-speech, or AAC experience for nonverbal children.
- Match the specialty to the need. A clinic that excels at feeding, apraxia, or AAC may differ from one focused on articulation, fluency, or literacy. Ask whether the therapist regularly treats your child's specific concern.
- Ask about bilingual services. In a city as bilingual as San Antonio, an evaluation in your child's stronger language matters. Several practices here offer therapy in both English and Spanish.
- Confirm insurance and cost up front. Verify in-network status with your plan — including Texas Medicaid, CHIP, STAR Kids, or Tricare — plus copays, visit limits, and prior-authorization rules, or ask for a superbill if the practice is private-pay.
- Consider the setting. Some children thrive in a clinic; others do better with in-home therapy or teletherapy. Several San Antonio providers offer all three.
- Trust the rapport. Your child should feel comfortable. Many practices offer a brief consultation — use it to gauge fit before committing.
Questions to ask during a consultation
- What is your experience with my child's diagnosis?
- Do you offer services in Spanish?
- How will you set and track goals?
- How often will sessions be, and for how long?
- How do you involve parents?
- What happens if we don't see progress?
Speech Therapy Resources in San Antonio
- Texas Early Childhood Intervention (ECI) Free or sliding-scale developmental and speech-language services for children birth to age three; Brighton Center and Easterseals serve Bexar County families.
- Texas Medicaid, CHIP & STAR Kids Public coverage and managed care that fund medically necessary speech therapy for eligible children, including those with disabilities.
- University Health, CHRISTUS Children's & Methodist Children's Hospital Major San Antonio systems offering pediatric evaluations and multidisciplinary rehabilitation.
- UT Health San Antonio / local university clinics Training clinics that can provide evaluations and therapy, often at reduced cost.
- Your child's school district Texas public schools provide speech-language services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does speech therapy cost in San Antonio, Texas?
Private-pay speech therapy in San Antonio typically runs about $100–$200 per session, while hospital-affiliated programs may bill differently. Many San Antonio providers accept commercial insurance, Texas Medicaid, and CHIP, which can reduce your cost to a copay or to $0 for covered, medically necessary services. Always confirm rates and coverage directly with the provider.
Does Texas Medicaid or ECI cover speech therapy in San Antonio?
Yes. Texas Medicaid and CHIP cover medically necessary speech therapy for eligible children, and STAR Kids managed-care plans coordinate therapy for children with disabilities. For children from birth to age three, Texas Early Childhood Intervention (ECI) provides developmental and speech-language services on a sliding-fee scale, with providers such as Brighton Center and Easterseals serving Bexar County families. Verify benefits before starting.
How long are typical speech therapy sessions?
Most pediatric speech therapy sessions in San Antonio last 30 to 60 minutes, with younger children often starting at 30 minutes. Evaluations usually take 60 to 90 minutes. Frequency commonly ranges from once to twice a week depending on the child's goals and the therapist's recommendation.
Are bilingual (Spanish) speech therapists available in San Antonio?
Yes. San Antonio's large bilingual community means several practices offer therapy in both English and Spanish. Speech Pathways Therapy Center and Kiddo Talk Speech Therapy provide bilingual Spanish services, and ECI providers like Brighton Center also support Spanish-speaking families, which helps with accurate evaluation and family carryover at home.
Do San Antonio speech therapists offer teletherapy or in-home visits?
Yes. Several San Antonio-area providers — including Blue Sage Pediatric Speech & Language Therapy, Kiddo Talk Speech Therapy, Circle of Care, Pediatric Therapy Specialists, and Mar Pediatric Therapy — offer in-home visits and/or teletherapy in addition to or instead of clinic-based care.
What conditions do pediatric speech therapists in San Antonio treat?
San Antonio speech-language pathologists commonly treat articulation and phonological disorders, receptive and expressive language delays, childhood apraxia of speech, stuttering, social/pragmatic language difficulties (including for autistic children), pediatric feeding and oral-motor concerns, tongue- and lip-tie, and they provide AAC (augmentative and alternative communication) support for nonverbal children.
How long is the wait for a first appointment?
It varies by practice rather than by city, so it is worth asking when you call — a clinic with a long wait for weekly therapy will often book an evaluation much sooner, and some hold cancellation slots. Because of that, most families contact more than one practice on this page rather than waiting on the first. If your child is under three, your state's early intervention program runs on its own timeline and is worth starting in parallel.
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Medical disclaimer. This directory is for general informational purposes. A listing is not an endorsement, referral, or recommendation, and inclusion does not mean we have verified a provider’s credentials, licensure, or insurance. Confirm those directly with the provider before booking. DrSensory is not affiliated with the practices listed.