Diagnostic Services

The professionals at the Center for Communication Skills provide assessments in the core areas of speech and language and in related areas such as learning, swallowing, feeding, cognitive functioning, and processing. Our goal is to understand each person in their life context and determine the role and impact of speech, language, or learning on the ability to function optimally. Coming to an appropriate diagnosis is the first step in understanding what is the best treatment plan. One way to think about speech and language assessment is to divide communication skills into Content, Form, Use, Learning, and Foundations of Oral Speech.

Testing in these areas include:


  • Processing of language
  • Vocabulary and concept knowledge
  • Comprehension of spoken and written language
  • Verbal and written expression of language
  • Cognition in dementia


  • Speech production/articulation
  • Grammatic order of words and structure of words
  • Understanding nonverbal language such as gestures, facial expressions and timing
  • The melody of speech


  • Pragmatic language
  • Social language
  • Accent modification


  • Learning style
  • Personality Strengths
  • Academic Skills
  • Dyslexia

Foundations of Oral Speech

  • Oral motor
  • Myofuctional (tongue thrust)
  • Swallowing
  • Feeding
  • Childhood Apraxia of Speech
Center For Communication Skills, Speech & Language Pathologists, Fresno, CA