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Telepractice has the potential to provide greater access to speech-language intervention services for children with communication impairments. Substantiation of this delivery model is necessary for telepractice to become an accepted alternative delivery model. This study investigated the progress made by school-age children with speech sound impairments in side-by-side intervention compared with telepractice intervention. Fourteen children aged 6 through 10 years with identified speech sound disorders were randomly assigned to intervention delivered in a side-by-side or telepractice service delivery model. Intervention was provided twice a week for 30-min individual sessions during a 5-week summer intervention program. Children in both service delivery models made improvement in their speech sound production during the program. There were no significant differences between the two groups on postintervention assessments including standardized assessment and listener judgments of word productions. Measurements of treatment fidelity were also reported. The results of this study support the use of telepractice in the intervention of children’s speech sound disorders.