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Smart Talk Speech

Striving to give every child a voice

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Smart Talk Speech only accepts straight, Fee-For-Service Medicaid at this time.

If you have a different insurance, please see our Speech Therapy Clinic database to find a provider that meets your needs.

Use the Contact Form below for the quickest response, usually within 2 business days.

Follow Smart Talk Speech Therapy online:

Contact Form

Please provide as much information as possible. Once submitted, we will contact you during regular business hours.

Thank you!

Child's Name*

Parent/Caregiver Name*

Insurance*

(Please note: Smart Talk only takes straight, Fee-For-Service Medicaid and private pay at this time.)

Email*

Phone*

Child's Date of Birth*

Month

Day

Year

Cross Streets *

Please provide the nearest cross streets to your place of residence.

Availability*

Mondays

Tuesdays

Wednesdays

Thursdays

Mornings

Afternoons

After School

Please choose all that apply.

I have concerns about my child's:*

Speech (intelligibility, articulation, stuttering)‎

Language (vocabulary, following directions, communicating wants/needs)‎

Feeding/Swallowing (picky eating, gagging/choking, difficulty eating)‎

Cognition (attention, memory, problem solving)‎

Other

Any other concerns or questions?

Office Hours

Monday-Friday: 8 am-10 am

Clinic Hours

Monday-Thursday: 10 am-6 pm

T: 702.339.5475

F: 877.741.9750

tashac.slp@gmail.com

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Created in 2016

by Tasha Chemplavil, LLC

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