For Pediatricians & Primary Care Doctors

It is well known that speech therapy services are available through the local County Regional Center and the local public-school systems. These services are educationally based and managed through statewide and federal special education mandates. These services can not be prescribed by a physician. Educationally based services focus entirely on facilitating success and progress in the classroom.

In contrast, CCSPOM is a clinically based practice evaluating and treating medical speech diagnoses. We are problem focused and results oriented. We consider ourselves part of a wholistic team approach with patient, parent/family, primary physician, dentist, orthodontist, and other specialists, all playing important roles in remediating speech and orofacial myofunctional disorders. Individual responsibility and accountability is encouraged in school age and older patients.


When to refer:

  • Speech Normalization Boundary (1994, Shriberg, Graber, and Kwiatowski): 8.5 years
  • Ideal Window for treating MILD articulation disorders: 7-8.5 years.

What's it take?
  • Evaluation: 60 minutes
  • Treatment: 1-2 weekly sessions
  • Motor based tx: speech movements focused
  • Lots of repetitions per session
  • Daily homework/practice REQUIRED
  • Average length of tx: 18 sessions
  • Covered by medical insurance with written referral/prescription.

When to refer:

  • Sooner rather than later. Research has shown children as young as 18 months demonstrate fear and avoidance reactions to their developmental stuttering.
  • Normal developmental stuttering emerges between 2 and 5 years of age as the child is learning to coordinate all the complexities of the speech mechanism while developing age appropriate language.
  • Young children often overcome stuttering entirely and many can improve without treatment: HOWEVER, IT IS IMPOSSIBLE TO KNOW WHICH CHILDREN WILL RECOVER ON THEIR OWN AND WHICH WILL NEED HELP.


  • there is a family history of stuttering
  • the child is demonstrating negative reactions to his/her speech

How Does It Work?
  • Evaluation: 60 minute evaluation
  • Treatment: 1-2 weekly 30-45 minute visits
  • Covered by medical insurance with written prescription/referral from primary care dr.

Digit Habit Elimination:

  • Sucking is a normal and important function of the mouth in infancy; it is how the infant is able to feed and be nourished properly.
  • Between the ages of 2 -5 years of age, the mouth undergoes several important changes to allow a child to speak clearly and eat a variety of food textures.
  • The mouth is not designed to suck after the age of 2.
  • CCSPOM utilizes an evidence based positive behavioral approach to eliminating digit habits in children ages 5 and above.

What's it take?
  • 90 -minute initial evaluation involving complete structural and functional assessment of the mouth, teeth, oral structures, and speech production to document impact of sucking habit on the mouth as well as provision of customized positive behavioral program for eliminating the sucking habit.
  • Reminders are used on the digit to bring the habit to conscious awareness at all times. Daytime and nighttime reminders are utilized
  • Alternative activities to keep the hands busy and mouth happy are provided.
  • Education and counselling are provided for parents to support child during this process.
  • 2 additional 30- minute sessions are scheduled for progress assessment and motivation.
  • Complete re-evaluation of structure and function occurs after 30 consecutive days of no sucking.
  • May be covered by medical insurance with a physician's prescription/referral.

“ Patricia always shares great information I can share with parents. We also experience much less frustration with insurance companies since she accepts almost all insurances. “

Sasha – MD
Learn how we can help your child with speech sound and fluency disorders as well as habit modification for digit sucking habits and tongue thrust.

for Parents

Learn how we can help your child with developmental speech issues.

Lean about evidence -based treatment for orofacial myofunctional disorders including tongue thrust,chronic open mouth posture/habitual mouth breathing, and digit habit elimination.

for Dentists & Orthodontists

Learn about effective treatments for motor-based speech conditions.

Learn about our motor- based therapy program for speech sound and fluency disorders as well as orofacial myofunctional therapy for treatment of maladaptive habits such as digit-sucking and tongue thrust.

for Pediatricians & Primary Care Doctors

Learn about effective treatments for motor-based speech conditions.

Speech therapy isn't just for children. We also help adults speak more confidently.

for Adults

Speech therapy isn’t just for children. We also help adults speak more confidently.


Patricia does a great job with little ones and clearly knows her stuff.

Marlena T.

Wait time, Quality, Environment, Customer service. Clearly, you know your topic! Thank you so much.

Dan K.

Very professional and inviting. Each experience is nothing less than gratifying, knowing that our child is getting the best of the best.


Environment, Wait time, Customer service, Quality. AMAZING!!

Jessica L.

Other, Environment, Wait time, Customer service, Quality. We appreciate the extra effort in helping with our insurance referrals!

Dawn C.

Always a great experience! Trisha is always so knowledgeable and professional. Thank you!

Mackenzie H.

Very professional and kid friendly service. So glad we found her.

Amy Y.

Therapist is great with my child! She really connects and will try different things until she finds what best works the best with my child.


Contact Us

We are here if you have any questions.

960 West Grand Ave Suite G, Grover Beach,93433

Tue-Wed-Thu: 9AM-5PM

(805) 441-1055

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