Meet Every Child Where They Are
Meet Every Child Where They Are
Pediatric Therapy Rooted in Play, Joy & Neurodiversity-Affirming Care
We’re a therapist and parent-owned practice, serving children across Philadelphia.
We welcome families of all races, ethnicities, immigration statuses, gender identities, sexual orientations, and abilities. Every child deserves care. Every family belongs here.
Our Services
Speech Therapy: communication, language, feeding, and fluency
Occupational Therapy: sensory processing, fine motor, and daily living skills
Physical Therapy: gross motor, movement, and coordination
Special Instruction: developmental support across all areas of learning
Social Work: resources, advocacy, and emotional support for families
Our Approach
We work with children from infancy through school age, in homes, schools, daycares, and at our East Falls clinic.
Every session is child-led & strength-based, built around what helps your child light up:
• Play-based, joyful sessions
• Neurodiversity-affirming care
• Trauma-informed therapists
• Sensory-informed approach
• Collaboration with families, schools, and care teams
• Committment to the latest evidence-based approaches
You’re the expert on your child. We’re here to support you both.
Not sure which service best suits your child? That’s what we’re here for.
Our Values
-
We meet every child and family exactly as they are. Our job is to support growth, not change who your child is.
-
We show up with kindness, for the families we work with and for ourselves. It's the foundation of everything we do.
-
We think critically, listen openly, and never stop learning. Different perspectives make us better therapists and better advocates.
-
We follow your child's lead and lean into what brings them joy. Learning is most powerful when it doesn't feel like work.
-
We show up for our families and our team in a way that is consistent, thoughtful, and genuinely helpful.
Learn More About Small Talk
-
At Small Talk, we listen to and learn from neurodivergent voices to shape everything we do. Speech therapy has a history of ableism. We’re committed to changing that.
-
We prioritize total communication. That means meeting your child exactly where they are right now. Communication looks different for every child, and all of it is valid:
Spoken language
Alternative and Augmentative Communication (AAC)
Sign language
Gestures
Hand-leading
-
Gestalt Language Processing is a language theory used to describe how some children process and learn language, often in meaningful chunks or scripts rather than building language one word at a time.
Some signs your child might process language this way include:
Repeating phrases from shows or movies
Humming or singing familiar songs rather than using words
Speaking with rich intonation
Language that seems rigid or context-specific
Producing long strings of unintelligible speech
Little to no progress with traditional speech therapy
A strong connection to music and song
Returning to favorite scenes from videos or movies again and again
-
Alternative and Augmentative Communication (AAC) refers to any tool or strategy that supports communication beyond spoken words. This includes high-tech devices, picture boards, sign language, and more.
There are no prerequisites to AAC. It's not a backup plan, it's a powerful support we use early and often. We assist with evaluating, funding, and implementing high-tech AAC, alongside a range of light- and mid-tech options.
-
Your child is our guide. We build every session around what brings them joy, because that's where real communication happens.
Welcome to Our Space
Welcome to Our Space
Our East Falls clinic was thoughtfully designed to feel like an extension of home. It’s a place where your child can explore, play, and grow. Take a look inside.
It's also a place for our team: a space to collaborate, connect, and recharge.
Drop in, have a coffee, stay a while.
What Families Are Saying
“Do you know when you meet people who seem to have been born to do what they do? That’s Small Talk! To say our daughter blossomed is an understatement.”
“The specialized therapy they provide changed my child’s life. He showed more progress in one year under their support than in four previous years.”
“My son absolutely loves his Small Talk team. His face instantly lights up. I feel at ease knowing that my son has such great therapists in his corner!”