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Business Name: Francine Ambrogio Gurtler & Assoc.

117 Oscaleta Road
South Salem, New York10590

Phone Number: (914) 447-7160

Email Address:


Describe treatment approach used: Parents and caregivers must understand that progress will be slow but, with intensive and consistent therapy with an experienced therapist, their child will become a more effective communicator. As CAS is a multifaceted disorder, therapy must incorporate multiple modes of intervention. I use a combination of evidenced based therapies and adapt them to meet the skill level, and needs of the child. The overriding principle is to practice motor planning of the articulators moving from one syllable to the next. The child is introduced to a series of simple picture cards representing simple CV or VC words and then works towards building fluent connections between the syllables creating longer strings of nonsense syllables and real words. In addition, these sound/syllable combinations are practiced separately in sentences emphasizing prosody, stress, and rate of speech. Therapy must be engaging and fun and include the child’s interests. Depending on the age of the child songs and poems help improve rhyme. Older children enjoy “reward” time using apps or other online games.

Describe parent/caregiver involvement: Parents are therapy partners, providing the daily, intense intervention a child needs to meet the challenges of living with CAS. As such, it is important they become educated on CAS, learn the therapy techniques and compensatory strategies appropriate for their child, and, carve out time for daily, at-home practice.

Describe your past and current involvement in the Apraxia community​?​ I have extensive experience with CAS and am often referred more difficult cases for review and consultation from other speech-language pathologists. I have presented two broad workshops on CAS - the first in January 2010 for the Speech Pathologists Information Network of BOCES Putnam/Northern Westchester and the second in May 2017 for the New Canaan Public Schools. I frequently confer with parents, teachers, and other childhood specialists on the social and psychological impact CAS has on children, especially in schools and daycare centers. I am a sponsor of the Westchester Walk for Apraxia. In addition to the many workshops I have attended, I keep abreast of the most current research and trends via books, trade journals, and online supports, such as Apraxia Kids!

Do you provide consultation/collaboration with other professionals (for example, ​​attending IEP meetings, co treating, etc.) Yes

Age range​ treated?​ 18 months to 18+

Hours of operation: 8-6

Locations where​ treatment ​is ​provided? Office/Clinic, Home, Daycare

Insurance accepted? No