I agree with the speech therapists opinion that their is clear delay and the cause needs to be known before making a decision about whether language and speech will develop or not. As per 4 years is concern, a child's critical learning period for speech and language is 0-7years. Yes, 4years is late. But still if proper therapy is given. Based on the child's disorder improvement can be seen.
Next Steps
consult a qualified speech therapists soon
Health Tips
Remember it is important that you meet the professional. as parents language stimulation is very important and can be done at home. in simple words talk to your child continuously.