State Licensure for Speech Language Pathology: What to Know

Like many other healthcare professionals in direct-contact roles, speech-language pathologists must be licensed in their state in order to practice their specialty. State licensing exists to protect the integrity of the profession and the safety of the public.

Licensing laws help establish a defined scope of practice for SLPs. Beyond that, the licensing process that all SLPs go through ensures high standards for candidacy, professional ethics, and practice. For all SLPs practicing anywhere in the US, becoming licensed involves a thorough vetting process that requires candidates to qualify by way of education and supervised experience, followed by a final examination.

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Who Determines License Requirements for Speech Language Pathologists?

Each state has its own legislation in place regarding the licensing and practice of speech-language pathologists. There is no single nationally accepted license for the profession.

Instead, each state licenses SLPs independently, designating a board or other agency to enforce state laws, administer the application process, and issue licenses. These boards perform an initial evaluation of each candidate, and require professionals to go through regular continuing education as a condition for license renewal.

 

The Audiology and Speech-Language Pathology Interstate Compact Supports Uniform Standards and Interstate Mobility

In 2020, the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) was formed. This represented an agreement among states that allows licensed audiologists and SLPs to practice across state lines without needing an additional license or permission in each state. As of 2025, 34 states and the Virgin Islands have joined the ASLP-IC. It is expected to become fully implemented and operational by late 2025. SLPs in compact states earn a home license, which can then be used to practice in any participating state.

 

The Role of the CCC-SLP Credential in the State Licensing Process

Like other medical professions, speech language pathologists have their own umbrella non-profit association to help set licensing standards and promulgate best practices to members. The American Speech-Language Hearing Association (ASHA) has existed long before states began to impose licensing requirements on speech-language pathologists.

ASHA offers a Certificate of Clinical Competence in Speech Language Pathology (CCC-SLP) that serves as a nationally-recognized board certification denoting competence in the field. Though the CCC-SLP credential is accepted as one possible path to licensure in many states, in most states it is considered optional, but not a legal requirement for becoming licensed. But since it’s so widely recognized and respected in the profession and the wider field of healthcare services, most SLPs choose to earn the credential anyway.

With licensing requirements in virtually all states generally aligned with CCC-SLP standards, for most SLPs it just makes practical sense to earn the credential.

Because ASHA was well established before most states created licensing requirements for speech language pathologists, the organization has had a strong hand in shaping those requirements over the years. ASHA maintains a state-by-state guide to licensing requirements and publishes model bills that are often used by state legislatures to create establishing requirements and licensing laws.

Qualifying for the CCC-SLP involves meeting requirements that often exceed basic licensing requirements the state has in place.

The standards for being awarded a CCC-SLP are strict. Candidates must:

  • Hold a master’s degree in speech-language pathology that’s accredited by the Council on Academic Accreditation (CAA), part of the American Speech-Language-Hearing Association (ASHA).
  • Meet a minimum of graduate semester credit hours including academic coursework and supervised clinical experience
  • Demonstrate knowledge of:
    • Human communication
    • Biological processes related to speech
    • Social and behavioral sciences
    • Standards of ethical conduct
    • Oral and written communication
  • Complete a minimum of 400 clock hours of supervised clinical experience
  • Pass the American Speech-Language-Hearing Association’s (ASHA) National Examination in Speech Language Pathology
  • Successfully complete a speech language pathology clinical fellowship

Even in those states that do not explicitly require the CCC-SLP, national certification standards generally meet most of the state requirements for licensure. Although specifics vary, most states require:

  • A master’s degree or equivalent from an accredited school
  • A certain number of clinical practice hours
  • Completion of a clinical fellowship
  • Passing scores on the national licensing exam

Some states also require candidates to pass a jurisprudence exam designed to test their knowledge of their state’s specific rules and regulations for the field.

State-By-State Licensing Overview

All 50 states and the District of Columbia require a license to practice speech pathology professionally.

States fall into one of three categories when it comes to establishing a candidate’s qualifications for receiving a license:

Most states require a clinical fellowship of 36 weeks (equivalent to ASHA requirements) and around 400 hours of supervised clinical practicum. States that do not require a CCC-SLP still require candidates to meet similar educational standards and pass the same Praxis exam used to meet CCC-SLP requirements.

Below is a list of the state agencies that license speech-language therapists, organized into one of the above categories:

 

States That Require the CCC-SLP for Licensure


Alaska

Department of Commerce, Community and Economic Development


Delaware

Board of Examiners of Speech-language Pathologists, Audiologists, and Hearing Aid Dispensers


Massachusetts

Board of Registration in Speech Language Pathology and Audiology


Rhode Island

Board of Examiners in Speech-Language Pathology and Audiology


Virginia

Virginia Board of Audiology and Speech Pathology

 

States That Accept the CCC-SLP as One Path to Licensure


Alabama

Alabama Board of Examiners for Speech-Language Pathology and Audiology


Arizona

Bureau of Licensing for Professions & Occupations, Department of Health Services


Arkansas

Arkansas Board of Examiners in Speech-Language Pathology and Audiology


California

Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board


Connecticut

Connecticut Department of Public Health


Florida

Board of Speech-Language Pathology and Audiology


Georgia

Board of Speech Language Pathology and Audiology


Hawaii

Board of Speech Pathology and Audiology


Illinois

Illinois Department of Financial and Professional Regulation, Division of Professional Regulation


Indiana

Indiana Professional Licensing Agency


Kentucky

Board of Speech-Language Pathology and Audiology


Louisiana

Louisiana Board of Examiners for Speech-Language Pathology and Audiology


Iowa

Board of Speech-Language Pathology and Audiology


Maine

Board of Speech, Audiology and Hearing


Michigan

Board of Speech-Language Pathology


Mississippi

Mississippi Department of Health, Professional Licensure Division


Missouri

Advisory Commission for Speech-Language Pathologists and Audiologists


Montana

Board of Speech-Language Pathologists and Audiologists


Nebraska

Department of Health and Human Services


Nevada

Speech-Language Pathology, Audiology, & Hearing Aid Dispensing Board


New Hampshire

Speech-Language Pathology and Hearing Care Providers Governing Board


New Mexico

Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Practices Board


New York

New York State Education Department, Office of the Professions


North Carolina

Board of Examiners for Speech and Language Pathologists and Audiologists


Ohio

Speech and Hearing Professionals Board


Oklahoma

Oklahoma Board of Examiners for Speech-Language Pathology and Audiology


Oregon

Board of Examiners for Speech-Language Pathology and Audiology


Pennsylvania

State Board of Examiners in Speech-Language Pathology and Audiology


South Carolina

Board of Examiners in Speech-Language Pathology and Audiology


South Dakota

Board of Examiners for Speech-Language Pathology


Tennessee

Board of Communications Disorders and Sciences


Texas

Texas Department of Licensing & Regulation


Vermont

Vermont Agency of Education, Secretary of State Office of Professional Regulation


West Virginia

Board of Examiners of Speech & Language Pathology and Audiology


Wisconsin

Hearing and Speech Examining Board


Wyoming

State Board of Examiners of Speech-Language Pathology and Audiology

 

States That Have CCC-SLP-Equivalent Requirements for Licensure, But Don’t Strictly Require it as a Condition for Licensure


Colorado

Department of Regulatory Agencies, Office of Speech-Language Certification


District of Columbia

DC Board of Audiology and Speech-Language Pathology


Idaho

Division of Occupational and Professional Licenses, Speech & Hearing Services Licensure Board


Kansas

Kansas Department of Aging and Disability Services, Health Occupations Credentialing


Maryland

Board of Examiners for Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists & Music Therapists


Minnesota

Department of Health


New Jersey

Audiology and Speech-Language Pathology Advisory Committee


North Dakota

Board of Examiners on Audiology and Speech-Language Pathology

  • Does not require a clinical fellowship


Utah

Utah Department of Commerce, Division of Professional Licensing


Washington

State Department of Health, Board of Hearing and Speech

 

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