North CarolinaSLP License Requirements

CAA Details

Program must be accredited by CAA of ASHA or accredited by regional accrediting body (e.g., SACS)

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.

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.

Supervision Requirements

Supervised Experience Year (SEY) under temporary license; telesupervision permitted when supervisor determines appropriate

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.

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.

Required CE Topics

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.

Endorsement Requirements

• •Active license in good standing in another state
• •Proof of CCC-SLP or Praxis exam
• •Application fee ($30) + permanent license fee ($60)
• •Verification of licensure from original state

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.