“Like the hummingbird sipping nectar from every flower, children fly joyfully through their days, seeing beauty in everything.”


Sound Advice Speech Therapy provides in-home, early-intervention speech therapy to children aged birth to five.

We serve the greater Berkeley and Oakland, CA locations. Our therapists specialize in:

  • Receptive and expressive language delays
  • Articulation disorders
  • Childhood apraxia
  • Disfluency (stuttering)
  • Toddler sign language
  • Augmentative and alternative communication
  • Social and play skills
  • Informal and formal evaluations

Contact us for a free consultation, or to make an appointment!

(415) 425-0963

Teresa has been working as a speech-language pathologist since 2006. She holds a Master's degree from the University of New Mexico, in addition to her American Speech-Language and Hearing Association Certificate of Clinical Competence (ASHA CCCs) and her CA state license. Her expertise has been contracted by the Department of State to consult with parents with toddlers living abroad. When not busy helping children, she enjoys crafting children’s stories, which educate as much as they entertain.

Speech-language pathologist & Founder:

Teresa Shkvarchuk, M.S., CCC-SLP

As a parent of my own young child, I understand, firsthand, all the responsibilities and errands such a title can demand. That is why, when I opened my practice, I elected to offer my services in the convenience and privacy of your own home, rather than at an impersonal clinic across town. This decision achieves three very important aims:

  1. It allows me to more effectively teach you, as parents, precisely which therapeutic methods proffer the greatest progress
  2. It promotes accelerated generalization of these skills since they are reinforced directly in the same setting you would like them used
  3. And lastly, a naturalistic, non-stigmatizing environment is maintained for your child

During my therapy sessions, I utilize a play-based therapy approach, which embeds the methodologies of the Hanen Method, Focused Language Stimulation, Milieu Teaching, speech modeling, and sign language or picture communication boards when needed. To me, effective communication, strong social skills, and creative thought are paramount to every child’s future success and happiness down the road.

I especially enjoy the one-on-one face time that at-home therapy allows, and take pride in the fact that my therapy sessions are specifically designed to cater to each child’s interests, strengths, and communication needs.

What more can I say, than I love what I do, and look forward to meeting you and your child soon!




Major Milestones to Watch Out For:

Note: All behaviors, in each category, are not expected to be observed until the upper limit of every age range.

  • 1 to 6 Months

    • Comprehension
      • Quiets down or smiles when spoken to
      • Recognizes your voice
    • Expression
      • Makes pleasure sounds such as cooing
      • Has different cries for different purposes
      • Smiles when he sees you
      • Uses the P, B, and M sounds when babbling
      • Vocalizes when excited
  • 7 to 12 Months

    • Comprehension
      • Moves his eyes or body in the direction of sounds
      • Notices toys that make sounds
      • Pays attention when music is played
      • Enjoys games like peek-a-boo
      • Understands the names of common items, like cup, juice, or shoe
    • Expression
      • Make lots of different sounds when babbling
      • Uses sounds to get your attention
      • Says one or two words
  • 13-18 Months

    • Comprehension
      • Can identify 1 to 3 body parts
      • Follows simple commands
    • Expression
      • Use adult-like intonation patterns
      • Says about 3 to 20+ words (mostly nouns)
      • Combines gestures with vocalizations
      • Makes requests for more of desired items
      • Speech is 25-50% understandable to family
  • 19-24 Months

    • Comprehension
      • Understands basic concepts such as: in, on, off, out, up, down, hot, wet, dirty, yucky, pretty, loud, one, all, and all gone
      • Follows simple directions, such as “Kiss baby” or “Roll ball”
    • Expression
      • Uses approximately 50 words
      • Combines two words together, such as “More milk”, “Go car”, or “Daddy home.”
      • Speech is 50-75% understandable to family
  • 2 - 3 Years

    • Comprehension
      • Understands most things said to him or her
      • Follows two requests (e.g., “Get your shoes and put them on.”)
      • Understands one and all
      • Points to pictures in a book when named
    • Expression
      • Requests items by name
      • Says 50-250 words
      • Uses 3-5 words in a sentence
      • 80% of the child’s speech is understandable to people outside the family
      • Asks 1- to 2-word questions
  • 3-4 Years

    • Comprehension
      • Follows 2-and 3-part commands
      • Has a 1,200-2,000 or more word receptive vocabulary
    • Expression
      • Uses 4 to 6 words in sentences
      • Speech is 80% understandable
      • Has a 800-1,500 or more word expressive vocabulary
  • 4 to 5 Years

    • Comprehension
      • Understands concept of numbers up to 3
      • Recognizes 1 to 3 colors
      • Answers complex 2-part questions
      • Listens to short, simple stories
    • Expression
      • Counts to number 10 via rote memory
      • Uses sentences of 4 to 8 words in length, which are mostly grammatically correct
      • Asks for word definitions
      • Talks about experiences at school, at friends’ homes, etc.
      • Speech is usually understandable to strangers
  • 5 to 6 Years

    • Comprehension
      • Names 6 basic colors and 3 basic shapes
      • Follows 3-part commands
      • Names opposites
      • Follows instructions given to a group
    • Expression
      • Reduces sentence length to 4 to 6 words
      • Accurately relays a story
      • Sings entire songs and recites nursery rhymes
      • Uses sentences with details
      • Communicates easily with adults and other children
      • Uses appropriate grammar in most cases

This information was compiled from a variety of sources, which included the American Speech-Language-Hearing Association (1983); Boone (1987); Gard, Gilman, and Gorman (1980); Hegde (1991); Kunz and Finkel (1987); Lane and Molynequx (1992); and Lenneberg (1969); Downing and Chamberlain (2009). Developing Communication in Young Children. Linguisystems CEU Class

What are people saying about her work...?
Our daughter always loved her speech therapy sessions with Teresa. She had so much fun with her that she didn't even know how much she was learning, which was a lot! Teresa was very thorough and always provided plenty of resources and support for us as parents. We will all miss working with Teresa and are thankful for all that she taught our daughter, and us!

-Jennifer T.

I highly recommend Teresa's speech therapy services. My daughter, Grace, who is two years old had a very limited vocabulary, and was not using sentences. After working with Teresa and following her insightful and practical recommendations, Grace's vocabulary tripled within a short period of time. In addition, based on Teresa's guidance, Grace learned to speak in 3-4 word sentences. Grace responded to Teresa in a very positive and enthusiastic way. I found Teresa to be not only professional, but also very warm, open and supportive. I particularly appreciated her ability to put me at ease with her sound guidance and reassurance. I am very grateful for the profound impact that Teresa's work has had on Grace's speech and language development.

-Francie H.

When Teresa first began working with our one and half year old son, he was not even able to form simple vowel sounds without a struggle, much less words. Thankfully Teresa recognized our son’s difficulties with speech to be attributed to apraxia, and knew to change her approach to one, which worked remarkably well for him. With lots and lots of practice, over a period of six months, my son not only more than caught up with his peers, but also could greet his Grandpa by name! For this I am incredibly grateful.

-Pamela G.