Speech Therapy Clinics in St. Louis, MO
Speech Therapy Clinics in St. Louis, MO
- 1465 S Grand Blvd, St. Louis, MO 63104
- (314) 577-5669
- ssmhealth.com
- Articulation, autism, childhood apraxia of speech, cleft/craniofacial conditions, developmental delays, feeding, language delays, and voice/fluency disorders
- What they're known for: One of the region's flagship pediatric hospitals, Cardinal Glennon delivers hospital-level, multidisciplinary speech-language care for children with complex or co-occurring medical needs. Services are clinic-based and require a referral, making this a strong choice for families whose child needs coordinated medical and therapeutic care.
- 9450 Clayton Rd, St. Louis, MO 63124
- (314) 246-0196
- smalltalkstl.com
- Speech and language disorders for children ages 12 months to 15 years
- What they're known for: A clinic-based pediatric practice on Clayton Road serving toddlers through teens, a convenient option for central-county families seeking dedicated speech-language care in a familiar clinic setting.
- 112 W Jefferson Ave, Suite 132, Kirkwood, MO 63122
- (314) 626-4761
- kidstherapyspotstl.com
- Speech and language therapy and autism evaluations
- Out-of-network with all insurers; provides superbills for reimbursement; FSA/HSA accepted
- What they're known for: A Kirkwood practice offering clinic, school-based, and teletherapy services. Because it is out-of-network with all insurers, it suits families comfortable using superbills, FSA/HSA funds, or private pay in exchange for flexible scheduling and delivery.
- 10733 Big Bend Rd, Suite 160, Kirkwood, MO 63122 (also a St. Peters location)
- (314) 403-0262
- therapystationstl.com
- Speech therapy, feeding therapy, and myofunctional therapy
- What they're known for: A multi-location practice (Kirkwood and St. Peters) offering clinic, school/daycare, and online services, with added strength in feeding and myofunctional therapy — useful for families whose child has overlapping oral-motor and feeding needs.
- 3750 Lindell Blvd, McGannon Hall Ste 32, St. Louis, MO 63108
- (314) 977-3365
- slu.edu
- Speech sound disorders, fluency, language and literacy, and autism social communication; home to an Early Childhood Language & Literacy Center
- No-fee clinic
- What they're known for: A university training clinic where graduate clinicians provide services under licensed SLP supervision. As a no-fee clinic, it is an excellent option for families seeking quality evaluation and therapy without out-of-pocket cost.
- 78 Clarkson Wilson Center, Chesterfield, MO 63017
- (636) 233-8754
- yourvillagestl.com
- Articulation, fluency, voice, language delays, autism, AAC, apraxia, and feeding
- In-network with Anthem, UMR, UnitedHealthcare, and Cigna
- What they're known for: A Chesterfield practice that delivers care in the clinic as well as in-home and in schools, with a broad scope from articulation and fluency to AAC and feeding — and in-network status with several major commercial plans.
- Serving St. Louis County, MO (mobile; no street address)
- (314) 514-5185
- tinyspeechstl.com
- Articulation and phonological disorders, language, stuttering, and apraxia, with an elementary-age focus
- What they're known for: A mobile-first practice that comes to the home, school, or daycare, plus teletherapy — convenient for busy families and for children who do best in familiar environments. Its elementary focus fits school-age articulation and language goals.
- Serving St. Louis & St. Charles County, MO (mobile; no street address)
- (314) 931-3304
- littletalkersspeechtherapy.com
- Late talkers, receptive and expressive language, articulation, gestalt language processing, autism, AAC, and apraxia, with a focus on ages 0–5
- What they're known for: An early-childhood specialist delivering mobile/in-home, daycare, and preschool services across St. Louis and St. Charles counties — a natural fit for families of late talkers and very young children, and well aligned with Missouri First Steps early-intervention goals.
- Serving St. Charles County and greater St. Louis, MO (no street address)
- (314) 882-2035
- wordplayspeechtherapy.com
- Speech sound disorders and apraxia, late talkers, language delay, gestalt language processing, AAC, and stuttering
- HSA/FSA accepted plus private pay
- What they're known for: A flexible practice offering in-person, school, and teletherapy across the St. Charles and greater St. Louis area, with particular depth in apraxia, gestalt language processing, and AAC. HSA/FSA and private-pay options keep scheduling simple.
- Based in St. Louis, MO; serves Chesterfield, Ballwin, Ladue, Creve Coeur, Kirkwood, and Webster Groves (no street address)
- (314) 306-4643
- heatherlittlespeech.com
- Articulation, voice, fluency, language, and reading/writing disorders
- What they're known for: An owner-operated, in-home and school-based practice covering several west-county communities — a good fit for families who prefer continuity of care with a single clinician and the convenience of therapy where their child lives and learns.
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 St. Louis
The "best" speech therapist is the one who fits your child's specific needs, 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 Missouri license. For specialized needs, ask about extra training (for example, apraxia, gestalt language processing, or myofunctional therapy).
- Match the specialty to the need. A practice that excels at feeding therapy or AAC may differ from one focused on articulation or stuttering. Ask whether the therapist regularly treats your child's specific concern.
- Confirm insurance and cost up front. Verify in-network status, copays, visit limits, and prior-authorization rules — or ask for a superbill if the practice is private-pay or out-of-network. For children under three, ask whether Missouri First Steps can help.
- Consider the setting. Some children thrive in a clinic; others do better with in-home or school-based therapy, or teletherapy. Several St. Louis providers offer all three.
- Ask about caregiver involvement. Strong programs coach parents so progress continues between sessions. Ask how they'll keep you involved and how they measure progress.
- 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?
- 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 St. Louis
- Missouri First Steps The state's early-intervention program providing free or low-cost developmental and speech-language evaluations and services for children birth to age three.
- MO HealthNet (Missouri Medicaid) Covers medically necessary speech therapy for eligible children; ask providers whether they accept MO HealthNet or its managed-care plans.
- SSM Health Cardinal Glennon Children's Hospital Pediatric evaluations, multidisciplinary clinics, and developmental resources for families across the St. Louis region.
- St. Louis Children's Hospital (BJC) Pediatric therapy services at multiple locations; confirm the specific site when scheduling.
- Your child's school district Public schools provide speech-language services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does speech therapy cost in St. Louis, Missouri?
Private-pay speech therapy in the St. Louis area typically runs about $110–$210 per session at private practices, while hospital-affiliated programs such as SSM Health Cardinal Glennon or St. Louis Children's Hospital may bill differently. Many St. Louis providers accept commercial insurance and Missouri Medicaid (MO HealthNet), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Several practices are out-of-network and provide a superbill for reimbursement, so confirm rates and coverage directly with the provider.
Does insurance cover speech therapy in Missouri?
Many Missouri health plans cover speech therapy when it is medically necessary, and Missouri Medicaid (MO HealthNet) covers speech therapy for eligible children. For children birth to age three, Missouri First Steps provides early-intervention services, including speech-language therapy, often at little or no cost to families. Coverage limits, prior-authorization rules, and visit caps vary by plan, so verify benefits before starting. Some St. Louis practices are private-pay or out-of-network and can provide a superbill for reimbursement.
How long are typical speech therapy sessions?
Most pediatric speech therapy sessions in St. Louis 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.
At what age should my child start speech therapy?
There is no age that is too early. Missouri's First Steps program serves children from birth to age three, and many St. Louis practices evaluate toddlers, preschoolers, and school-age children. If you have concerns about your child's speech clarity, vocabulary, or social communication, an evaluation can be done at any age.
Do St. Louis speech therapists offer teletherapy or in-home visits?
Yes. Several St. Louis-area providers — including Tiny Speech, Little Talkers Speech Therapy, Word Play Speech Therapy, Speech-Language Communications, and The Therapy Station — offer in-home visits, school- and daycare-based services, and/or teletherapy across the greater St. Louis and St. Charles County region in addition to clinic-based care.
What conditions do pediatric speech therapists in St. Louis treat?
St. Louis speech-language pathologists commonly treat articulation and phonological disorders, language delays, childhood apraxia of speech, stuttering and fluency disorders, social/pragmatic language difficulties (including for autistic children), gestalt language processing, feeding and swallowing concerns, and they provide AAC (augmentative and alternative communication) support.
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.