Frequently Asked Questions

By Lana Kirk, M.A., M.S., CCC-SLP







Q. What does CCC-SLP stand for?

A. CCC-SLP is an abbreviation term that stands for Certificate of Clinical Competence – Speech-Language Pathologist. That means that the SLP (Speech-Language Pathologist) is certified through ASHA (American Speech-Language and Hearing Association) has met the requirements, including at least a Master’s degree to practice Speech-Language Pathology. It is different from licensing.


Q. What do speech-Language Pathologists do?

A. Speech-Language Pathologists assess and treat the disorders of speech, language, voice, resonance, and swallowing. They also develop and implement literacy, accent modification and corporate speech programs.


Q. Does the insurance pay for SLP services?

A. Most health insurance plans have provisions for speech and language services with the established medical necessity. Some of the speech and language disorders do not, however, fall under the medical necessity category. You should contact your case manager at your insurance company to find out what therapy services you can expect them to reimburse.


Q. By what age does a child say all of the sounds correctly?

A. Typically, a child should be able to pronounce most of the sounds correctly by the age of six. If by the age of seven, your child still has the sound(s) in his speech repertoire that he persistently distorts, omits, or substitutes with other sounds, it is probably time for a speech and language evaluation, and possibly, an audiology evaluation as well to rule out a hearing problem that may result from frequent ear infections.


Q. Is a speech disorder the same as language disorder?

A. No. They are different, and they may coexist. In other words, a child can have both a speech and a language disorder. A speech disorder relates to the inability to produce the correct sounds to communicate the message, whereas the language disorder implies the problems with following the rules of the language (correct order of words in a sentence, word endings).


Q. My child stuttered when he was young, and then it went away. Can stuttering go away or come back?

A. Stuttering may manifest itself in young children temporarily and taper down as they grow older. The best strategy for the parents is not to panic and not to accentuate their and the child’s attention on this in order to let child develop their speech and language skills naturally. If the child is at the stage where he/she is aware of the stuttering, you should seek an evaluation of a Speech Language Pathologist.


Q. Are stuttering and cluttering the same?

A. No, they are not. They may appear to sound the same, but there are distinct differences in those two, although they may also coexist.


Q. What is MBSS?

A. MBSS is the abbreviation for a Modified Barium Swallow Study, a fluoroscopic procedure for people having difficulty chewing and swallowing food. MBSS is helpful in determining aspiration associated with food and liquids. MBSS is performed at a hospital.


Q. What is FEES?

A. FEES is Fiberoptic Endoscopic Evaluation of Swallowing that does not require a visit to a hospital and can be done at bedside. It is a thorough examination of swallowing function that excludes the radiation exposure. Candidates for the test should be able to tolerate the endoscope passing through the nasal and upper pharyngeal channels.


Q. What is IPA?

A. IPA stands for International Phonetic Alphabet designed to classify all the sounds and their variations in most of the world known and existing languages.


Q. What is the difference between an accent and a dialect?

A. The main difference is that an accent refers to speech characteristics of a person who comes from another country, and a regional dialect develops within the same country. For example, a person raised in Texas will most likely sound differently from a New-Yorker.



We understand that a lot of people may have many more specific questions regarding their children’s speech and language development. We suggest contacting the Liberty Speech Pathology Center at for scheduling an appointment with our Speech-Language Pathologist as early as possible if a speech-language disorder is suspected.



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