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How to become a licensed speech-language pathologist (SLP) in North Carolina. Praxis exam required. Clinical fellowship required. Total initial fees: $265+. Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
Licensed Speech-Language Pathologist
Governing Authority
North Carolina Board of Examiners for Speech-Language Pathologists and Audiologists (NCBOESLPA)
Official website →Required
Praxis Required
Not Required
CCC-SLP Required
Required
Clinical Fellowship
Permitted
Telepractice
30 hrs
CE Hours
$265+
Total Initial Fees
Education & Program Requirements
VerifiedDegree Required
Master's degree in speech-language pathology from a CAA-accredited program
CAA Accreditation
Required
CAA Details
Program must be accredited by CAA of ASHA or accredited by regional accrediting body (e.g., SACS)
Program Length
2-3 years (master's level)
Clinical Practicum Hours
400 hrs
Required Coursework
SLP licensure requires a master's degree in speech-language pathology from a CAA-accredited program (Council on Academic Accreditation in Audiology and Speech-Language Pathology). Programs typically include 375-400 clinical practicum hours and coursework in speech, language, swallowing, and cognitive-communication disorders.
Browse approved speech language pathologist training programs to find the right fit.
Browse Speech-Language Pathologist study materials on Amazon →(affiliate link)
Exam Requirements
VerifiedPraxis Required
Praxis Examination in Speech-Language Pathology
162
Passing Score
Praxis 5331; Computer-delivered; 132 questions; 2.5 hours
Format
$146
Exam Fee
Retake Policy
28-day waiting period between attempts
The Praxis Examination in Speech-Language Pathology (test code 5331) is administered by ETS. Most states require a passing score of 162. The exam covers foundations of practice, screening and assessment, planning and intervention, and professional issues.
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Study guides for the Praxis SLP licensing exam.
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Clinical Fellowship Requirements
VerifiedClinical Fellowship Required
36 wks
Duration
1,260 hrs
Total Hours
Yes
CF License Available
Supervision Requirements
Supervised Experience Year (SEY) under temporary license; telesupervision of temporary licensees accepted as direct supervision when the supervising licensee has determined circumstances are appropriate (Board policy since May 14, 2021)
Supervisor Qualifications
Supervisor must hold current CCC-SLP
The Clinical Fellowship (CF) is a mentored professional experience completed after earning a master's degree. It typically requires 36 weeks of full-time experience (approximately 1,260 hours) under the supervision of a CCC-SLP certified speech-language pathologist. Many states offer a temporary CF license to allow practice during this period.
CCC-SLP & ASHA Requirements
VerifiedNot Required
CCC-SLP for License
Not Required
ASHA Membership
Accepted in Lieu
CCC-SLP accepted in lieu of Praxis score and CF verification for reciprocal licensure
The Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) is a nationally recognized credential granted by the American Speech-Language-Hearing Association (ASHA). Some states require or accept CCC-SLP certification as part of the licensure process or in lieu of certain requirements such as the Praxis exam or clinical fellowship verification.
| Fee | Amount |
|---|---|
Application Fee | $30 (non-refundable application fee) |
Praxis Fee Paid directly to ETS | $146 |
License Fee | $60 (permanent license); $40 (temporary license) |
Renewal Fee | $60 (annual) |
Background Check Fee | Varies |
Total Initial Fees Application ($30) + temp license ($40) + permanent license ($60) + Praxis ($135) | $265+ |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
Renewal & CE Requirements
Verified1 year (annual)
Renewal Period
30 hrs
CE Hours Required
Accepted
ASHA CEUs Accepted
Required CE Topics
Renewal Fee
$60
Regulatory Board
SLP licenses must be renewed on schedule. Most states require 20-30 hours of continuing education per renewal period. Many states accept ASHA Continuing Education Units (CEUs) to satisfy state CE requirements.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
Endorsement Available
Yes
Interstate Compact
North Carolina is an ASLP-IC member; board has a dedicated ASLP-IC Information Page
Endorsement Requirements
The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) allows licensed SLPs to practice in other compact member states. Non-compact states require license by endorsement, which typically involves verifying existing credentials and may require additional documentation.
Moving to another state? Use our Transfer Tool to see what you need →
North Carolina uses a unique 'Supervised Experience Year' (SEY) instead of the standard ASHA CF terminology. Annual renewal ($60) but CE tracked over a 3-year period (30 hours). The 7-member board is Governor-appointed. Telepractice and telesupervision are both permitted. Military exemptions on renewal fees. NC is an ASLP Compact member.
NC Board consists of 7 Governor-appointed members (2 public, 2 audiology, 2 SLP, 1 physician).
Temporary license: $30 application + $40 license fee; permanent license: $60.
Annual renewal at $60; 30 CE hours per triennial (3-year) period.
Telesupervision of temporary licensees permitted.
Applications must be submitted one week before monthly board meetings.
Military members and spouses exempt from renewal fees.
North Carolina is a member of the ASLP Interstate Compact (ASLP-IC).
Contact: dbrown@ncboeslpa.org or (336) 272-1828.
Applications and applicable fees must be submitted at least one week prior to the monthly board meeting.
7 members appointed by the Governor: 2 Public Members, 2 Audiology Members, 2 SLP Members, 1 Physician
Speech Language Pathologist requirements in nearby states
North Carolina ranks #11 out of 51 for lowest speech language pathologist licensing fees ($265+). See full ranking →
More rankings: Lowest Renewal Cost · Fewest CE Hours
✓ ASLP-IC Compact State — North Carolina is a member of the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC). Licensed speech language pathologists from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in North Carolina.
Speech Language Pathologist Schools in North Carolina
Compare approved training programs, costs, and requirements.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#25 of 51
Cost
#11 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Speech-Language Pathologists (SOC 29-1127)
Entry Level
$69,640
25th percentile
Median
$87,420
-8% vs. national avg ($95,410)Experienced
$102,960
75th percentile
Wage Distribution (Annual)
5,160 employed in this state
Source: BLS OEWS – Speech-Language Pathologists (May 2024)
National employment projections for 2024-2034
Projected Growth
+10.4%
High DemandNew Jobs
+17,600
over 10 years
Annual Openings
11,200
per year (avg.)
168,700 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Praxis Speech-Language Pathology Exam — 2023-2024National rate
90%
First-time Pass Rate
~90%+ for candidates with graduate degrees. Passing score is 162 on a 100-200 scale.
Source: ASHA / ETS Praxis Data (2024)
Pass rates are approximate national averages and may vary by state, exam provider, and candidate preparation.
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: 170–216 weeks
Timeline estimated from licensing requirements on this page.
4–8 weeks
Estimated processing time
Moving to North Carolina? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your Speech Language Pathologist license to North Carolina →
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North Carolina requires passing the Praxis SLP exam for SLP licensure. A clinical fellowship is required. All licensing is managed through the North Carolina Board of Examiners for Speech-Language Pathologists and Audiologists (NCBOESLPA).
Requirements vary by state. Always verify current requirements with your state licensing authority.