Talk and Total Communication provides speech, language, and literacy services for infant-toddlers, preschoolers, school-age children, and adults with communication disorders. These services include assessments as well as treatments. We work on location in schools, day cares, private homes, as well as in our Durham Center. We specialize in individuals with Down syndrome, autism, speech and language impairments, feeding/swallowing and oral-motor issues, and bilinguals who speak Spanish or Chinese.