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MICELI

                                         Andrew Miceli, M.A., CCC-SLP
                                               Email   : micelispeech@gmail.com
                                               Office  : 520-812-9256
                                              AZ Cell : 917-887-4716
Speech Therapy & Stuttering Solutions

Serving Tucson, AZ and all of Southern Arizona
Skype Services available nationwide
in all Time Zones

About the Clinician:

Andrew Miceli, M.A., CCC-SLP

- Clark University, Bachelor of Arts, English Literature, 1993

- New York University, Master of Arts, Speech-Language Pathology, 2003

- Clinical Fellow, Speech-Language Pathology, 2004 - 2005

- Certificate of Clinical Competence (CCC) - Speech-Language Pathology (ASHA), 2005

MY STUTTERING STORY

I started to stutter shortly after I turned four years old (the year was 1975).  Although some children experience what is often referred to as a “developmental stage” of stuttering (= where the stuttering dissipates after several months to several years), I did not.  In fact, my stuttering became so severe so quickly that not long after the onset…all of the things most people verbally do without concern or effort (i.e., saying their name, ordering what they want to eat or drink, giving directions or instructions, asking or answering a question, telling a joke or story, and everything else requiring effortless “fluent,” “normal” speech) became not only impossible but (also) the source of mockery and ridicule from peers and even adults because of my stuttering and how severe it was.

Today I am 46 years old, predominantly fluent and bilingual…but the impact these stuttering difficulties
had early-on was profound as I learned first-handedly how quality of life can be impacted when the ability to produce fluent, verbal speech and language becomes compromised.  I learned this because of stuttering.  Whatever challenges you or your child may be experiencing (stuttering, a speech or language delay, a specific sound difficulty, a fear of public speaking, or something else altogether) I offer the opportunity to help improve your quality of life through improving whatever speech and/or language challenge(s) may be present.


 Checklist for On-Time Speech-Language Development​​​
(0 - 5 years / Major Milestone Information):

Contrary to the outdated yet still widely believed premise, children do not begin to speak "when they're ready" or "when they want to."  The opposite is actually true:  time (think "age")-specific speech-language skills are acquired as the child passes through certain chronological ages.​​​​

The following information as a first-step, rudimentary review of some of the major milestones children ascend regarding language skills.  After reviewing the information, if you have any questions or concerns,
or would like more detailed information re: typical speech-language development, please use the
CONTACT US link below the information to schedule your free consultation.

(Source: Roseberry-Mckibbin, Celeste & Hegde, M.N.,  An Advanced Review of Speech-Language Pathology (Preparation for NESPA and Comprehensive Examination (p141 - 152), 2000 PRO-ED, Inc, Austin Texas)

by 18 months - 2 years​​​

- Around 18 months a child understands about 200 words and produces about 150 words
- Utterances can be up to three to four words (should be at two-word stage)
- evidence of "holophrastic" speech (one word may be used used for multiple meanings)
- Begins asking questions (may be in single word form)
- Begins verbalizing basic wants/needs (i.e., "I want ball", "potty," etc) 
by 2 - 3 years​​​

- Evidence of basic sentence structure
- utterance length should be up to three to four words by 3 years
- At 30 months comprehension up to 2,400 words; by 3 years up to 3,600 words
- Expressive vocabulary ranges from 200 - 600 words with an average of 425 at 30 months
- Answering simple "wh" questions (what, who, where, etc)
- at 3 years a child can begin to verbalize an account of an experience, tell a basic story
by 3 - 4 years

- Comprehends up to 4,200 words by 40 months, up to 4,800 words by 4 years
- Language has approximately 800 - 1500 words 
Uses "modal" verbs (could, would, should) in language
- Asking more questions (how, why, when) using more complete, and varied, forms 
- Negates when speaking (i.e., "Jon can't come over.")
- Uses irregular plurals
- Produces regular past tense and present-progressive verb forms
by 4 - 5 years

​- Comprehends up to 6,500 words at 54 months, up to 9,600 words by 5 years
- Expressive vocabulary should be somewhere between 1,500 - 2,000 words
- Produces pronouns
- Produces "why" and "how"
- Understands time concepts, object functions, and various verb tenses
- Verbalizes longer, chronologically correct stories and stay on topic
- Begins to tell jokes
- Verbalizing to know the "why" of something



After reviewing the above-cited information, if you have any concerns or questions, or would simply
like to discuss the process of language acuisition in general, please call me at 520-812-9256 (office) or
917-887-4716 (Tucson mobile) to set-up your free consultation.

There are no stupid questions and no irrelevant concerns.

Don't wait until it's too late; call now and let's start making your child's speech great. 
Every Question is Important, Every Concern is Important
MICELI Speech Therary & Stuttering Solutions™ acknowledges your questions and concerns are real
so please reach out anytime via any of the following contact information to arrange your free consultation:

Office Phone: (520)-812-9256 (voice mail)
Tucson Mobile: (917)-887-4716 (voice mail or text)
Email: micelispeech@gmail.com

Skype consultations are available in all time zones nationwide.

WORDS ARE WINGS®