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How to become a licensed speech-language pathologist (SLP) in Missouri. Praxis exam required. Clinical fellowship required. Total initial fees: $216. Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
Licensed Speech-Language Pathologist
Governing Authority
Missouri Board of Registration for the Healing Arts / Advisory Commission for Speech-Language Pathologists and Audiologists
Official website →Required
Praxis Required
Not Required
CCC-SLP Required
Required
Clinical Fellowship
Permitted
Telepractice
30 hrs
CE Hours
$216
Total Initial Fees
Education & Program Requirements
VerifiedDegree Required
Master's or doctoral degree from a CAA-accredited program or equivalent
CAA Accreditation
Required
CAA Details
Program must be accredited by the Council on Academic Accreditation (CAA) of ASHA or other approved accrediting agency
Program Length
2-3 years (master's level)
Clinical Practicum Hours
375 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.
Exam Requirements
VerifiedPraxis Required
Praxis Examination in Speech-Language Pathology
162
Passing Score
Computer-delivered test; 132 selected-response questions; 2.5 hours
Format
$146
Exam Fee
Retake Policy
28-day waiting period between attempts; no limit on number of 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.
Clinical Fellowship Requirements
VerifiedClinical Fellowship Required
36 wks
Duration
1,260 hrs
Total Hours
Yes
CF License Available
Supervision Requirements
Minimum 36 supervisory activities over the CF period; supervision under provisional license
Supervisor Qualifications
Supervisor must hold current CCC-SLP and have completed at least 9 months of post-certification experience
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 exam verification
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 | $25 |
Praxis Fee Paid directly to ETS | $146 |
License Fee | $25 (included in application) |
Renewal Fee | $50 |
Background Check Fee | $45 |
Total Initial Fees Includes application ($25), Praxis exam ($135), and background check (~$45) | $216 |
Renewal & CE Requirements
Verified2 years (biennial; renews by January 31 of odd-numbered years)
Renewal Period
30 hrs
CE Hours Required
Accepted
ASHA CEUs Accepted
Required CE Topics
Renewal Fee
$50
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
Missouri is a member of the ASLP Interstate Compact (ASLP-IC).
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.
Missouri has one of the lowest SLP license fees in the nation at $25. The Advisory Commission for Speech-Language Pathologists and Audiologists operates under the Board of Registration for the Healing Arts rather than as an independent board. License renewal is handled through the MOPRO online portal.
Missouri uses an Advisory Commission rather than a full licensing board, under the Board of Registration for the Healing Arts.
Application and license fees are among the lowest in the nation ($25 each).
Provisional license valid for 1 year, renewable once for Clinical Fellowship.
30 CE credits required per 2-year renewal cycle.
License renewals due by January 31 of odd-numbered years through MOPRO portal.
Missouri is a member of the ASLP Interstate Compact (ASLP-IC).
Explore requirements for other professional licenses in Missouri.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#30 of 51
Cost
#2 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
$65,570
25th percentile
Median
$83,950
-12% vs. national avg ($95,410)Experienced
$100,550
75th percentile
Wage Distribution (Annual)
2,700 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)
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
Study guides for the Praxis SLP licensing exam.
Browse Study Guides on Amazon →As an Amazon Associate, we earn from qualifying purchases.
Missouri requires passing the Praxis SLP exam for SLP licensure. A clinical fellowship is required. All licensing is managed through the Missouri Board of Registration for the Healing Arts / Advisory Commission for Speech-Language Pathologists and Audiologists.
Requirements vary by state. Always verify current requirements with your state licensing authority.