Speech Therapy

We use a variety of techniques to teach children the essential skills needed to be confident and successful communicators. Treatment plans and goals are developed and implemented based upon your child’s needs.

Here at Interact Therapy we provide comprehensive speech language evaluations in speech and language development for children of all ages. Each evaluation is performed by an SLP with a clinical certificate of competency from the American Speech-Language and Hearing Association.


We utilize a variety of standardized tests, checklists & clinical judgement in order to assess your child’s ability in all areas of speech and language development. After an initial evaluation, we will provide you with therapy and treatment recommendations that are designed to meet the needs of you and your child.

Making An Appointment:
Contact Interact Therapy via the contact form below, by emailing us at rolson@interact-therapy.com,
or by calling 701-532-1906.
Physician referrals may be faxed to 701-532-1896.

Wondering if your child needs a speech language evaluation? Some common referral criteria include (but not limited to): you or others are having difficulty understanding your child. Your child is using fewer words that other children his or her age. People think your child is younger because of the way they speak. Your child stutters, or your child is struggling with reading or writing. If you have any of these concerns, contact us.

Speech & Language Developmental Milestones

Birth-3 Months

Cries differently for different needs, smiles when sees you, and makes pleasure sounds such as cooing or gooing.

4-6 Months

Chuckles and laughs, babbles with many different sounds including p, b, and m. Makes gurgling sounds, and vocalizes excitement and displeasure.

7 Months - 1 Year

Uses non-crying sounds and speech to get and keep attention. Babbling includes both long and short groups of sounds. Imitates speech sounds and has one or two words close to first birthday, although the sounds may not be clear. Uses hand gestures to signify what they want.

1-2 Years

Says more words every month. Puts two words together ("more please," "mommy book"). Uses some one or two word questions, and uses many different consonant sounds.

2-3 Years

Has a word for almost anything. Uses k, g, f, d, and n sounds. Speech is understood by familiar people. Asks why questions. May stutter on words or sounds, and often asks for or directs attention to objects by naming them.

3-4 Years

Talks about their day using around 4 sentences at a time with each sentence having 4 or more words. Answers simple "who," "what", "where" questions and asks when and how questions. Says rhyming words. Uses pronouns like I, you, we, me, and they. Uses some plural words like birds, toys, and trucks. Speech is understood by people outside the family. 

4-5 Years

Knows to repeat self if asked. Talks without repeating sounds or words most of the time. Names numbers and letters. Can tell a short story and keep conversation going. Says all speech sounds in words, but may make mistakes on sounds that are harder to say like l, s, r, v, z, s, ch, sh, and th.

Comprehensive speech language evaluations will look at the following:

  • Receptive language - what your child understands (semantics, syntax & morphology)

  • Articulation - how your child produces specific sounds & auditory processing

  • Expressive language - the way your child expresses themselves (semantics, syntax, morphology, narrative & pragmatics)

If concerns are noted during, we will also evaluate a child’s voice (pitch, rate and loudness) and fluency (smooth rate of speech). Additionally, we may also assess oral motor and/or feeding skills if a child is having difficulty chewing, swallowing or tolerating different textures.

Parents will be provided with a report detailing their child’s strengths and weaknesses in speech and language, including standardized scores and a specific treatment plan (if applicable). If a problem is identified from the testing that is not “developmental” in nature (in other words, your child will not “grow out of it”), speech and/or language therapy is usually recommended.

Your therapist will thoroughly explain the problem to you and your family, and make specific recommendations, which will include individualized goals and objectives. Your child may be referred to other specialists for additional assessment or treatment. Information may be given to you on how to work with your child at home.