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Naturopathic Doctor — ND/NMD
Total cost: $100
Governing Authority
Pennsylvania State Board of Medicine — Naturopathic Doctor Registration
Official website →3 sources cited · Last verified March 2026 · Every number on this page links to its official source
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
License Required
Yes
NPLEX Required
No
Prescriptive Auth.
No
Minor Surgery
Varies
CE Hours
$100
Total Initial Fees
CNME-Accredited Program & Degree
VerifiedCNME Program
Required
Program Length
4 years (naturopathic program) plus bachelor's degree
Degree Level
Bachelor's degree from a regionally accredited college/university (or equivalent) plus naturopathic medical education
Accredited Schools
Must hold a bachelor's degree and complete naturopathic medical education. Training in child abuse recognition and reporting (3 hours) required.
Naturopathic doctors must complete a 4-year post-graduate doctoral program from a CNME-accredited (Council on Naturopathic Medical Education) naturopathic medical school. The program includes approximately 4,100 hours of classroom and clinical training covering biomedical sciences, clinical sciences, botanical medicine, nutrition, physical medicine, homeopathy, pharmacology, and supervised clinical rotations. There are currently 7 CNME-accredited programs in the United States and Canada.
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NPLEX & State Examinations
VerifiedNPLEX Examination Required
Naturopathic Physicians Licensing Examinations
NPLEX Parts
NPLEX examination as required for registration
Jurisprudence Exam
No State Jurisprudence Exam
At least 3 hours of approved education/training in child abuse recognition and reporting required
Additional Requirements
The NPLEX (Naturopathic Physicians Licensing Examinations) consists of two parts: Part I covers biomedical sciences (anatomy, physiology, biochemistry, microbiology, pathology, and pharmacology) and Part II covers clinical sciences (diagnosis, botanical medicine, nutrition, physical medicine, homeopathy, counseling, minor surgery, pharmacology, and emergency medicine). All licensing states require passage of both parts. Some states additionally require a state-specific jurisprudence examination.
Overall licensing difficulty: 44/100
Study recommendation: Most candidates study 2–4 weeks
Practice with realistic exam questions
NPLEX (Naturopathic Physicians Licensing Exam)
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Naturopathic Medicine Exam Prep
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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State Licensing Requirements
VerifiedState License/Registration Required
State License Title
Registered Naturopathic Doctor
Additional Notes
Pennsylvania uses registration rather than licensure under the Naturopathic Doctor Registration Act.
Approximately 25 states plus the District of Columbia license or register naturopathic doctors. States without licensure include Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, West Virginia, and Wyoming. Only graduates of CNME-accredited programs qualify for state licensure.
Practice Scope & Authority
VerifiedPrescriptive Authority
No
Minor Surgery
No
Natural Childbirth
No
IV Therapy
No
Scope Details
Pennsylvania uses a registration system rather than licensure. Scope of practice is more limited than many licensing states. Naturopathic doctors practice under the Naturopathic Doctor Registration Act administered by the State Board of Medicine.
Naturopathic doctor scope of practice varies enormously by state. States with the broadest scope (Oregon, Washington, Arizona, Vermont, Montana) allow prescriptive authority including some controlled substances, minor surgery, natural childbirth attendance, and IV therapy. Other states have more limited scope covering diagnostic testing, nutritional counseling, botanical medicine, and physical medicine only. In unlicensed states, naturopathic practice may be unregulated or prohibited.
Prescriptive & Procedural Authority
VerifiedNo Prescriptive Authority
NDs cannot prescribe medications in this state
Minor Surgery
Not Authorized
Natural Childbirth
Not Authorized
IV Therapy
Not Authorized
Prescriptive authority for naturopathic doctors varies significantly by state. States with the broadest authority (Oregon, Washington, Arizona, Vermont, Montana) allow NDs to prescribe most non-controlled substances and some controlled substances with DEA registration. Other states limit NDs to a defined formulary of natural and synthetic substances. DEA registration may be available in states with prescriptive authority for controlled substances. Always verify current prescriptive authority with the state licensing board.
| Fee | Amount |
|---|---|
Application Fee | $100 |
License Fee | Included in application fee |
Renewal Fee | $50 |
Total Initial Fees Initial registration $100; biennial renewal $50 | $100 |
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Renewal & CE Requirements
Verified2 years
Renewal Period
—
CE Hours Required
$50
Renewal Fee
CE Details
Contact the State Board of Medicine for current continuing education requirements for naturopathic doctor registration renewal.
Regulatory Board
Naturopathic doctor licenses must be renewed on schedule with the state licensing authority. Most licensing states require 20-40 continuing education hours per renewal cycle in naturopathic medicine, pharmacology, clinical sciences, diagnostic techniques, botanical medicine, nutrition, and related professional topics. Some states require specific CE hours in pharmacology for NDs with prescriptive authority.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
Comity Available
No
Reciprocity Requirements
Most states that license naturopathic doctors offer reciprocity or endorsement for licensed NDs from other states. Requirements typically include verification of current ND licensure in good standing, graduation from a CNME-accredited program, passage of NPLEX Parts I and II, and completion of a background check. Some states may require a state-specific jurisprudence exam. Scope of practice may differ between states.
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Pennsylvania registers (rather than licenses) naturopathic doctors, and the fees are among the lowest in the nation ($100 initial, $50 biennial renewal). A bachelor's degree is explicitly required in addition to naturopathic medical education. Three hours of child abuse recognition and reporting training are mandatory for registration. The scope is relatively restricted compared to states like Arizona and Oregon.
Pennsylvania uses registration rather than licensure under the Naturopathic Doctor Registration Act.
Initial registration $100; biennial renewal $50 — among the lowest fees nationally.
Child abuse recognition and reporting training (3 hours) required.
Bachelor's degree required in addition to naturopathic education.
Scope of practice is relatively limited compared to broad-scope states.
Administered by the State Board of Medicine.
Naturopathic Doctor requirements in nearby states
See how Pennsylvania compares: Naturopathic Doctor License Fees by State — Cheapest to Most Expensive →
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Naturopathic Doctor licensing requirements nationwide →
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Explore requirements for other professional licenses in Pennsylvania.
Naturopathic Doctor Schools in Pennsylvania
Compare approved training programs, costs, and requirements.
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Pennsylvania licenses/registers naturopathic doctors. NPLEX Parts I and II are required. All licensing is managed through the Pennsylvania State Board of Medicine — Naturopathic Doctor Registration.
Requirements vary by state. Always verify current requirements with your state licensing authority.