pediatric Speech therapy services in los angeles

providing support for children with speech, language, & social communication needs

Accepting clients!

All Services

  • A young girl with curly hair and a black, peach, and white jacket is sitting on the floor, holding a toy telephone with a red handset to her ear, and smiling.

    Free Initial Consultation

    Therapy services will begin with a complimentary, 20-minute initial consultation with myself, Nicole Kramer, M.S., CCC-SLP. Consultations are our chance to connect, discuss questions you may have, and determine how I may be able to help your child thrive in communication and confidence.

  • A young girl with long brown hair, wearing a light blue shirt, is sitting at a table with colorful stacking toys. She has her index finger on her lips, practicing lip rounding.

    Full Evaluation

    A comprehensive evaluation is the first step in understanding your child’s unique communication strengths and needs. Assessments include parent interviews, standardized testing, and informal measures. You’ll receive a report with clear results and individualized goals for therapy.

  • Close-up of a child's hands playing with colorful plastic toy food on a fluffy white rug, including a red apple, green and purple grapes, yellow corn, and orange carrots.

    One-on-one therapy

    One-on-one therapy sessions typically mix play with structured teaching of skills. Therapy sessions may take place at our office space in West Los Angeles, through teletherapy, or at your child’s school (if permitted). Please see below (Our Approach) for specific therapy methods used at Saltwater Speech.

  • A young woman and a small girl are playing with wooden toys on a light-colored carpet in a bright room. The girl, dressed in a blue jumpsuit, is smiling as she holds a small wooden figure, and the woman is holding another wooden figure. In the background, there is a rocking horse, a teddy bear, and shelves with storage bins.

    Parent coaching

    Parent coaching in carryover strategies is a key contributor to a child’s progress. When caregivers feel confident in implementing strategies, a child can make great gains at home in between therapy sessions! I will support you in communication strategies to feel even more connected to your child.

Jasper

Jasper (joint attention symbolic play engagement and regulation) is a ucla-developed, play-based intervention. it emphasizes regulating children’s emotions and establishing engagement through children’s interests. Jasper targets play skills, as well as language and social communication.

I believe in providing therapy that blends research-backed interventions, personalized to fit each child’s needs and interests:

the Approach:

orofacial myofunctional therapy

I am currently a certification candidate in orofacial myofunctional therapy, which consists of systematic exercises designed to improve the function and coordination of facial and oral muscles. it benefits children who are exhibiting tongue ties, tongue thrust, breathing issues, oral motor dysfunction, and more.

prompt

Prompt (prompts for restructuring oral muscular phonetic targets) is a hands-on speech therapy intervention. through prompt, a therapist identifies the source of verbal speech difficulties, and supports and guides the mouth and other articulators using touch on the face.

language support

I provide general language support through research-backed strategies. these strategies are communicated to caregivers so that they can be utilized at home. I acknowledge all modes of communication here, whether it be through aac, gestures, verbal speech output, or other means.

A woman with short dark hair and light skin smiling, wearing a gray cardigan and a delicate gold necklace, against a pink background.
Two speech bubbles, one yellow and one pink, each containing wavy lines in pink, yellow, white, and blue colors.

Meet the owner

Hello! I'm Nicole Kramer, M.S., CCC-SLP. I am a pediatric speech therapist specializing in supporting children with autism and related communication challenges through evidence-based therapy, meaningful connection, and strategies personalized to each child and Family.

I spent 6 years training at UCLA’s Kasari Lab for autism research, working directly with experts in the field. prior to opening saltwater speech, I spent 3 years working in a private practice setting. in addition to my experience working one-on-one with clients, I have extensive experience coaching parents and caregivers, as well as supporting children within a classroom setting.

My goal is to help communication feel more natural, more fulfilling, and more expressive for each child.

The image features the phrases "SALT WATER SPEECH" in bold blue text, with wavy lines in pink, yellow, and blue beside each word, representing sound or speech waves.

Get in touch!

email: nicole@saltwaterspeech.com
Phone: (909) 362-4895
hours: monday - Friday, 8am to 5pm

Address: 2211 Corinth Avenue, los angeles, ca 90064 (sharing space with summit learning educational therapy)