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Maine Speech-Language Pathology — Requirements & Free Practice

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Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Speech-Language Pathologist and Audiologist

Dual licensure requiring qualifications for both professions; only this family’s examinations are requirement leaves.

Licensing authority: Maine Board of Speech, Audiology and Hearing · Application information

Dual licensure by endorsement
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Fee
Pay the applicable fee.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Good standing
Meet all good-standing and no-denial conditions in 10 M.R.S. §8003-H.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Other license
Current United States licensure covering both professions with substantially equivalent requirements.

Official no-examination sources

Effective from 2026-09-22.

Late renewal within 90 days
No examination is required for this applicant pathway.
Continuing education
16 hours during preceding license term under Chapter 8; first-renewal exemption/reduction applies according to initial-license issue date.
Fee
Pay renewal fee.
Late period
Within 90 days after expiration; pay the late fee.
Renewal application
Submit renewal application and required information.

Official no-examination sources

Effective from 2026-09-22.

Military endorsement under 10 M.R.S. §8011(1)
No examination is required for this applicant pathway.
Current license
Comparable license in good standing from another state.
Discretion
Board may permit endorsement.
Eligible person
Qualified active duty service member, recently separated veteran, spouse or domestic partner.
Term
Remainder of the other license’s term or until a Maine license is obtained.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement from inactive to active status
No examination is required for this applicant pathway.
Application
Submit Board reinstatement form and required license fee.
Continuing education
If inactive less than five years, document 10 hours in the preceding 365 days; if inactive five or more years, document 20 hours in the preceding 365 days.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement — More than two years after expiration
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology
For dual licensure, also satisfy Chapter 3 §2; any Praxis Audiology examination is an other-profession condition.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Continuing education
For reapplication within two years, demonstrate timely completion of continuing education that would have been required for renewal under Chapter 6 §3.
Exam waiver
The special two-year reinstatement examination waiver does not apply; independent initial-licensure pathways remain governed by Chapter 3.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
New application
Reapply on the original application and meet all requirements for new applicants; certification and equivalent-other-jurisdiction alternatives remain conditions as described in Chapter 3.
Window
More than two years after expiration
Reinstatement — More than 90 days and within two years after expiration
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology
For dual licensure, also satisfy Chapter 3 §2; any Praxis Audiology examination is an other-profession condition.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Continuing education
For reapplication within two years, demonstrate timely completion of continuing education that would have been required for renewal under Chapter 6 §3.
Exam waiver
Board may waive examination in its discretion when late and renewal fees and the application are received within two years.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
New application
Reapply on the original application and meet all requirements for new applicants; certification and equivalent-other-jurisdiction alternatives remain conditions as described in Chapter 3.
Window
More than 90 days and within two years after expiration
Annual renewal
No examination is required for this applicant pathway.
Continuing education
16 hours during preceding license term under Chapter 8; first-renewal exemption/reduction applies according to initial-license issue date.
Fee
Pay renewal fee.
Renewal application
Submit renewal application and required information.

Official no-examination sources

Effective from 2026-09-22.

Dual licensure — SLP Pathway 1 and Audiology Pathway 1
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Accredited master’s/doctoral/equivalent audiology degree meeting Chapter 3 §2(1), including qualifying 1820-hour practicum, and Praxis Examination in Audiology score no more than five years old. This other-profession examination is an applicant condition, not an SLP exam leaf.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Clinical fellowship
Complete a fellowship substantially equivalent to the 36-week fellowship specified in Chapter 3 §1(1)(B).
Education
Master’s, doctoral or equivalent accredited degree: CAA program, ASHA-evaluated program accepted for certification, or substantially equivalent coursework and clinical experience under Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Score age
Passing Praxis SLP score obtained no more than five years before receipt of application.
Dual licensure — SLP Pathway 1 and Audiology Pathway 2
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Qualifying master’s/doctoral/equivalent audiology degree and current ASHA Certificate of Clinical Competency in Audiology.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Clinical fellowship
Complete a fellowship substantially equivalent to the 36-week fellowship specified in Chapter 3 §1(1)(B).
Education
Master’s, doctoral or equivalent accredited degree: CAA program, ASHA-evaluated program accepted for certification, or substantially equivalent coursework and clinical experience under Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Score age
Passing Praxis SLP score obtained no more than five years before receipt of application.
Dual licensure — SLP Pathway 1 and Audiology Pathway 3
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Current audiologist license from a jurisdiction with standards the Board finds substantially equivalent to Chapter 3 §2(1) or §2(2).
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Clinical fellowship
Complete a fellowship substantially equivalent to the 36-week fellowship specified in Chapter 3 §1(1)(B).
Education
Master’s, doctoral or equivalent accredited degree: CAA program, ASHA-evaluated program accepted for certification, or substantially equivalent coursework and clinical experience under Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Score age
Passing Praxis SLP score obtained no more than five years before receipt of application.
Dual licensure — SLP Pathway 2 and Audiology Pathway 1
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Accredited master’s/doctoral/equivalent audiology degree meeting Chapter 3 §2(1), including qualifying 1820-hour practicum, and Praxis Examination in Audiology score no more than five years old. This other-profession examination is an applicant condition, not an SLP exam leaf.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Board certificate acceptance
2.Pathway 2 – Certificate of Clinical Competency A.A master’s degree, doctoral degree or equivalent from an accredited institution as described in Section 1(1)(A) of this chapter; and B.A valid Certificate of Clinical Competency in Speech-Language Pathology from ASHA that is current at time of application.
Certification
A valid ASHA Certificate of Clinical Competency in Speech-Language Pathology current at application.
Education
Master’s, doctoral or equivalent accredited degree meeting Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Statutory exam rule
32 M.R.S. §17302(1) requires each SLP applicant to have passed the Board-approved examination; the Board’s SLP examination identified in Chapter 3 §1(1)(C) is Praxis. Chapter 3 §1(2) and the application accept current CCC documentation without separately requesting a Praxis score. That implementation alternative is recorded here; no new sitting is asserted.
Dual licensure — SLP Pathway 2 and Audiology Pathway 2
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Qualifying master’s/doctoral/equivalent audiology degree and current ASHA Certificate of Clinical Competency in Audiology.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Board certificate acceptance
2.Pathway 2 – Certificate of Clinical Competency A.A master’s degree, doctoral degree or equivalent from an accredited institution as described in Section 1(1)(A) of this chapter; and B.A valid Certificate of Clinical Competency in Speech-Language Pathology from ASHA that is current at time of application.
Certification
A valid ASHA Certificate of Clinical Competency in Speech-Language Pathology current at application.
Education
Master’s, doctoral or equivalent accredited degree meeting Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Statutory exam rule
32 M.R.S. §17302(1) requires each SLP applicant to have passed the Board-approved examination; the Board’s SLP examination identified in Chapter 3 §1(1)(C) is Praxis. Chapter 3 §1(2) and the application accept current CCC documentation without separately requesting a Praxis score. That implementation alternative is recorded here; no new sitting is asserted.
Dual licensure — SLP Pathway 2 and Audiology Pathway 3
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Current audiologist license from a jurisdiction with standards the Board finds substantially equivalent to Chapter 3 §2(1) or §2(2).
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Board certificate acceptance
2.Pathway 2 – Certificate of Clinical Competency A.A master’s degree, doctoral degree or equivalent from an accredited institution as described in Section 1(1)(A) of this chapter; and B.A valid Certificate of Clinical Competency in Speech-Language Pathology from ASHA that is current at time of application.
Certification
A valid ASHA Certificate of Clinical Competency in Speech-Language Pathology current at application.
Education
Master’s, doctoral or equivalent accredited degree meeting Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Statutory exam rule
32 M.R.S. §17302(1) requires each SLP applicant to have passed the Board-approved examination; the Board’s SLP examination identified in Chapter 3 §1(1)(C) is Praxis. Chapter 3 §1(2) and the application accept current CCC documentation without separately requesting a Praxis score. That implementation alternative is recorded here; no new sitting is asserted.
Dual licensure — SLP Pathway 3 and Audiology Pathway 1
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Accredited master’s/doctoral/equivalent audiology degree meeting Chapter 3 §2(1), including qualifying 1820-hour practicum, and Praxis Examination in Audiology score no more than five years old. This other-profession examination is an applicant condition, not an SLP exam leaf.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Current license
Current license in another jurisdiction with professional standards the Board determines substantially equivalent to Chapter 3 §1(1) or §1(2).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Jurisdiction materials
Provide license verifications from every jurisdiction ever licensed and the licensing jurisdiction’s current laws and rules under Chapter 6 §2.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Waiver
Board may waive examination under 32 M.R.S. §17303(1); Pathway 3 in Chapter 3 §1(3) implements licensure on proof of equivalent current licensure.
Dual licensure — SLP Pathway 3 and Audiology Pathway 2
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Qualifying master’s/doctoral/equivalent audiology degree and current ASHA Certificate of Clinical Competency in Audiology.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Current license
Current license in another jurisdiction with professional standards the Board determines substantially equivalent to Chapter 3 §1(1) or §1(2).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Jurisdiction materials
Provide license verifications from every jurisdiction ever licensed and the licensing jurisdiction’s current laws and rules under Chapter 6 §2.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Waiver
Board may waive examination under 32 M.R.S. §17303(1); Pathway 3 in Chapter 3 §1(3) implements licensure on proof of equivalent current licensure.
Dual licensure — SLP Pathway 3 and Audiology Pathway 3
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology qualification
Current audiologist license from a jurisdiction with standards the Board finds substantially equivalent to Chapter 3 §2(1) or §2(2).
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Current license
Current license in another jurisdiction with professional standards the Board determines substantially equivalent to Chapter 3 §1(1) or §1(2).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Jurisdiction materials
Provide license verifications from every jurisdiction ever licensed and the licensing jurisdiction’s current laws and rules under Chapter 6 §2.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Waiver
Board may waive examination under 32 M.R.S. §17303(1); Pathway 3 in Chapter 3 §1(3) implements licensure on proof of equivalent current licensure.

Speech-Language Pathologist

Ordinary speech-language pathology license, including examination, certification, other-jurisdiction and endorsement routes.

Licensing authority: Maine Board of Speech, Audiology and Hearing · Application information

Change of status from temporary to permanent licensure
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Clinical fellowship
Successfully complete the clinical fellowship and provide the completed ASHA rating/reporting form or accepted equivalent.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Praxis
Official passing Praxis evidence sent directly to the Office; Chapter 3 §1(1)(C) limits the score to five years.
Temporary license
Give the existing temporary license number.
Licensure by endorsement under 32 M.R.S. §17303(2)
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Denial
No cause for denial under 10 M.R.S. §8003(5-A)(A) or other law.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Good standing
Good standing in every jurisdiction: no pending complaint, allegation or investigation, no suspension or practice restrictions, and no surrendered or revoked license.
Jurisprudence permission
10 M.R.S. §8003-H permits a jurisprudence examination only if otherwise required by applicable law or rule; the obtained 02-643 licensing rules name no SLP jurisprudence examination.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Other license
License in a United States jurisdiction with substantially equivalent requirements.

Official no-examination sources

Effective from 2026-09-22.

Late renewal within 90 days
No examination is required for this applicant pathway.
Continuing education
10 hours during preceding license term under Chapter 8; first-renewal exemption/reduction applies according to initial-license issue date.
Fee
Pay renewal fee.
Late period
Within 90 days after expiration; pay the late fee.
Renewal application
Submit renewal application and required information.

Official no-examination sources

Effective from 2026-09-22.

Military endorsement under 10 M.R.S. §8011(1)
No examination is required for this applicant pathway.
Current license
Comparable license in good standing from another state.
Discretion
Board may permit endorsement.
Eligible person
Qualified active duty service member, recently separated veteran, spouse or domestic partner.
Term
Remainder of the other license’s term or until a Maine license is obtained.

Official no-examination sources

Effective from 2026-09-22.

Pathway 1 — Transcript analysis, clinical fellowship and examination
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Clinical fellowship
Complete a fellowship substantially equivalent to the 36-week fellowship specified in Chapter 3 §1(1)(B).
Education
Master’s, doctoral or equivalent accredited degree: CAA program, ASHA-evaluated program accepted for certification, or substantially equivalent coursework and clinical experience under Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Military credit
Qualified persons may receive credit for satisfactory military education, training or service under 10 M.R.S. §8011. OPOR may evaluate veteran examination/licensing eligibility case by case and waive examination or license fees; this does not identify a separate examination.
Score age
Passing Praxis SLP score obtained no more than five years before receipt of application.
Pathway 2 — Certificate of Clinical Competency
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Board certificate acceptance
2.Pathway 2 – Certificate of Clinical Competency A.A master’s degree, doctoral degree or equivalent from an accredited institution as described in Section 1(1)(A) of this chapter; and B.A valid Certificate of Clinical Competency in Speech-Language Pathology from ASHA that is current at time of application.
Certification
A valid ASHA Certificate of Clinical Competency in Speech-Language Pathology current at application.
Education
Master’s, doctoral or equivalent accredited degree meeting Chapter 3 §1(1)(A).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Military credit
Qualified persons may receive credit for satisfactory military education, training or service under 10 M.R.S. §8011. OPOR may evaluate veteran examination/licensing eligibility case by case and waive examination or license fees; this does not identify a separate examination.
Statutory exam rule
32 M.R.S. §17302(1) requires each SLP applicant to have passed the Board-approved examination; the Board’s SLP examination identified in Chapter 3 §1(1)(C) is Praxis. Chapter 3 §1(2) and the application accept current CCC documentation without separately requesting a Praxis score. That implementation alternative is recorded here; no new sitting is asserted.
Pathway 3 — Licensure in another jurisdiction
No examination is required for this applicant pathway.
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Current license
Current license in another jurisdiction with professional standards the Board determines substantially equivalent to Chapter 3 §1(1) or §1(2).
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
Jurisdiction materials
Provide license verifications from every jurisdiction ever licensed and the licensing jurisdiction’s current laws and rules under Chapter 6 §2.
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
Waiver
Board may waive examination under 32 M.R.S. §17303(1); Pathway 3 in Chapter 3 §1(3) implements licensure on proof of equivalent current licensure.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement from inactive to active status
No examination is required for this applicant pathway.
Application
Submit Board reinstatement form and required license fee.
Continuing education
If inactive less than five years, document 10 hours in the preceding 365 days; if inactive five or more years, document 20 hours in the preceding 365 days.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement — More than two years after expiration
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology
Not applicable.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Continuing education
For reapplication within two years, demonstrate timely completion of continuing education that would have been required for renewal under Chapter 6 §3.
Exam waiver
The special two-year reinstatement examination waiver does not apply; independent initial-licensure pathways remain governed by Chapter 3.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
New application
Reapply on the original application and meet all requirements for new applicants; certification and equivalent-other-jurisdiction alternatives remain conditions as described in Chapter 3.
Window
More than two years after expiration
Reinstatement — More than 90 days and within two years after expiration
Application
Submit the Board application, required fees, documentation of qualifications and criminal or disciplinary history under Chapter 6 §1.
Audiology
Not applicable.
Background check
32 M.R.S. §17301-A requires state and federal criminal history checks, including fingerprints, for initial SLP licensure and endorsement.
Continuing education
For reapplication within two years, demonstrate timely completion of continuing education that would have been required for renewal under Chapter 6 §3.
Exam waiver
Board may waive examination in its discretion when late and renewal fees and the application are received within two years.
Foreign education
If education was completed outside the United States and its territories, obtain degree-equivalency validation under 32 M.R.S. §17103(7).
License verifications
Provide verifications from each jurisdiction in which a professional license was held as required by the application.
New application
Reapply on the original application and meet all requirements for new applicants; certification and equivalent-other-jurisdiction alternatives remain conditions as described in Chapter 3.
Window
More than 90 days and within two years after expiration
Annual renewal
No examination is required for this applicant pathway.
Continuing education
10 hours during preceding license term under Chapter 8; first-renewal exemption/reduction applies according to initial-license issue date.
Fee
Pay renewal fee.
Renewal application
Submit renewal application and required information.

Official no-examination sources

Effective from 2026-09-22.

Speech-Language Pathology (5331)

Provider
Educational Testing Service (ETS); computer delivered at a test center or at home (online); ASHA announces a transition to PSI, a wholly owned ETS subsidiary, on January 11, 2027, with availability through ETS and Prometric through December 31, 2026
Format
Computer-delivered selected-response questions; the test may contain some questions that do not count toward the score; the score is based on the number of questions answered correctly
Exam questions
132 selected-response questions (approximately 44 in each of the three content categories)
Time limit
150 minutes
Passing score
States, institutions, and associations that require the test set their own passing scores; the passing score for purposes of ASHA certification is 162 on a 100-200 scale
Exam fee
$146.00
Examination outline
  • I. Foundations and Professional Practice (approximately 44 questions; approximately 33% of examination). Speech-language pathologists must have strong foundational knowledge about typical communication development, as well as common characteristics of communication and swallowing disorders and potential factors impacting communication. SLPs must also understand the professional practice requirements that support the provision of services. Knowledge about these requirements ensures that ethical, culturally competent services are provided within the framework of legislative and regulatory requirements and are founded in research.
    • A. Foundations — 1. Typical development and performance across the lifespan: a. developmental norms; b. speech sound and phonology; c. receptive and expressive language (–– syntax and morphology; –– semantics; –– pragmatics/social language); d. fluency; e. voice, resonance, and motor speech; f. feeding and swallowing; g. cognition; h. processing; i. motor and linguistic processes
    • A. Foundations — 2. Factors that influence communication, feeding, and swallowing: a. medical; b. cultural and ethnic; c. linguistic; d. psychological; e. anatomy/physiology; f. environmental; g. genetics; h. auditory
    • A. Foundations — 3. Epidemiology and characteristics of common communication and swallowing disorders: a. speech sound and phonology; b. syntax and morphology; c. semantics; d. pragmatics; e. fluency; f. voice, resonance, and motor speech; g. feeding and swallowing; h. cognition; i. processing
    • B. Professional Practice — 1. Wellness and prevention: a. prevention terminology, practices, and public education; b. risk factors for communication disorders
    • B. Professional Practice — 2. Culturally and linguistically appropriate service delivery: a. understanding, respecting, and responding to explicit and implicit cultural factors that influence communication; b. identifying the impact of assimilation and acculturation on communication patterns; c. communication differences between speakers of the same language
    • B. Professional Practice — 3. Counseling, collaboration, and teaming: a. interpersonal communication and counseling techniques; b. integration of other professionals into the assessment and treatment process; c. communication with patient/client/student, families, and other professionals
    • B. Professional Practice — 4. Documentation: a. legal and regulatory requirements; b. purposes of documentation; c. privacy requirements; d. official records
    • B. Professional Practice — 5. Ethics: a. standards of ethical practice (–– permissions, referrals, and record keeping; –– client/patient/student privacy; –– supervisory requirements; –– conflicts of interest; –– professional competence)
    • B. Professional Practice — 6. Legislation and client advocacy: a. federal laws and regulations impacting delivery of services; b. reporting requirements of governmental agencies; c. licensing requirements and standards
    • B. Professional Practice — 7. Research methodology and evidence-based practice: a. criterion for test selection; b. determining reliability of assessment procedures; c. models of research design; d. test construction principles; e. tenets of evidence-based practice
  • II. Screening, Assessment, Evaluation, and Diagnosis (approximately 44 questions; approximately 33% of examination). Speech-language pathologists use a variety of tools and strategies to gather information about clients with communication and swallowing disorders. They must synthesize and analyze the information to develop appropriate management plans. This section will focus on screening, assessment, evaluation, and diagnosis of communication and swallowing disorders. Topics include how SLPs use and interpret various screening and assessment tools to determine whether additional formal evaluation is indicated, as well as issues related to the selection of appropriate tools and approaches for screening, assessment, and evaluation. Identification of relevant factors from the case history, determining an appropriate assessment protocol, and interpretation of findings to determine a diagnosis and formulate recommendations are covered in this section of the exam, as well.
    • A. Screening — 1. Communication disorders: a. role of the SLP in screening for speech, language, and hearing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics requiring further evaluation; d. knowledge of populations at risk for communication disorders
    • A. Screening — 2. Feeding and swallowing disorders: a. role of the SLP in screening for feeding and swallowing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics which require further evaluation; d. knowledge of factors leading to increased risk of swallowing and feeding disorders in various populations
    • B. Approaches to Assessment and Evaluation — 1. Developing case histories: a. reviewing records for pertinent information; b. interviewing techniques to obtain pertinent information; c. integrating critical factors identified in the case history
    • B. Approaches to Assessment and Evaluation — 2. Selecting appropriate assessment instruments, procedures, and materials: a. identifying factors that influence test/procedure selection; b. identifying factors that require adaptation of traditional assessment procedures, instruments, and materials; c. selecting instrumental approaches that can be utilized to evaluate various communication and swallowing disorders (e.g., imaging, acoustic, aerodynamic, etc.)
    • B. Approaches to Assessment and Evaluation — 3. Assessing factors that influence communication and swallowing disorders: a. cultural and ethnic factors; b. linguistic factors; c. medical factors (e.g., stable versus progressive conditions, early versus late onset, etc.); d. developmental and cognitive factors; e. psychological factors; f. environmental factors
    • B. Approaches to Assessment and Evaluation — 4. Assessment of anatomy and physiology: a. assessment of pertinent anatomy, physiology, and neural substrates for: –– respiration; –– phonation; –– speech sound production; –– resonance; –– speech/language perception and processing; –– feeding and swallowing
    • C. Assessment Procedures and Assessment — 1. Speech sound production: a. standard and nonstandard assessment procedures; b. parameters of assessment of speech sound production; c. instrumental assessment of speech sound production; d. differential diagnosis of speech sound disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 2. Fluency: a. standard and nonstandard assessment procedures; b. parameters of assessment of fluency; c. instrumental assessment of fluency disorders; d. differential diagnosis of fluency disorders (e.g., stuttering versus cluttering); e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 3. Voice, resonance, and motor speech: a. standard and nonstandard assessment procedures; b. parameters of assessment of voice, resonance, and motor speech disorders; c. instrumental assessment of voice, resonance, and motor speech disorders; d. differential diagnosis of voice, resonance, and motor speech disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 4. Receptive and expressive language: a. standard and nonstandard assessment procedures; b. parameters of assessment of receptive and expressive language disorders; c. instrumental assessment of language disorders; d. differential diagnosis of language disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 5. Social aspects of communication, including pragmatics: a. standard and nonstandard assessment procedures; b. parameters of assessment of social aspects of communication, including pragmatics; c. differential diagnosis of social communication disorders and pragmatic disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 6. Cognitive aspects of communication: a. standard and nonstandard assessment procedures; b. parameters of assessment of cognitive communication disorders; c. differential diagnosis of cognitive communication disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 7. Augmentative and alternative communication: a. standard and nonstandard assessment procedures; b. low tech and high tech instrumental assessment procedures; c. parameters of assessment for augmentative and alternative communication; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 8. Hearing: a. assessment approaches; b. considerations related to age, developmental status, medical condition, etc.; c. interpretation of assessment (e.g., audiograms and tympanograms) and identification of indicators for referral
    • C. Assessment Procedures and Assessment — 9. Feeding and swallowing: a. instrumental and noninstrumental assessment procedures; b. considerations related to age, developmental status, medical/surgical history, etc.; c. differential diagnosis of feeding and swallowing disorders; d. interpretation of assessment data and indications for referral
    • D. Etiology — 1. Genetic: a. modes of inheritance; b. genetic conditions associated with communication disorders and feeding/swallowing disorders, including common syndromes; c. features of common syndromes and their impact on communication and feeding/swallowing (e.g., Trisomy 21, 22q11.2 deletion syndrome, Fragile X syndrome, etc.)
    • D. Etiology — 2. Developmental: a. developmental delay; b. congenital and acquired conditions associated with developmental communication and feeding/swallowing disorders
    • D. Etiology — 3. Disease processes: a. childhood (e.g., congenital vocal fold paralysis, cystic fibrosis); b. acquired (e.g., Bell’s palsy, iatrogenic); c. progressive (e.g., amyotrophic lateral sclerosis, myopathy)
    • D. Etiology — 4. Auditory problems: a. congenital and childhood hearing loss; b. acquired hearing loss
    • D. Etiology — 5. Neurological: a. congenital (e.g., cerebral palsy); b. acquired (e.g., TBI, neoplasms, stroke)
    • D. Etiology — 6. Structural and functional: a. congenital (e.g., craniofacial anomalies); b. acquired (e.g., head and neck surgery, trauma, and iatrogenic causes); c. functional causes (e.g., velopharyngeal mislearning, vocal misuse)
    • D. Etiology — 7. Psychogenic
  • III. Planning, Implementation, and Evaluation of Treatment (approximately 44 questions; approximately 33% of examination). Speech-language pathologists are responsible for designing and implementing evidence-based treatments to help clients maximize their functioning in communication and/or swallowing. Consequently, the test includes a range of items that pertain to treatment planning, implementation, and evaluation. This topic area includes issues related to the development and evaluation of treatment plans, as well as evidence-based principles and procedures associated with specific communication and swallowing disorders.
    • A. Treatment Planning — 1. Evaluating factors that can affect treatment: a. evaluating the evidence base associated with a particular treatment strategy or approach; b. evaluating the role of client factors such as age, disorder type, disorder severity, concomitant disorders, personal goals/aspirations, and sociocultural background when planning and implementing treatment goals; c. evaluating the role of external factors such as caregivers’ interactions with the client, school or workplace policies, public laws, medications and iatrogenic, and societal stereotypes when planning and implementing treatment goals
    • A. Treatment Planning — 2. Initiating and prioritizing treatment and developing goals: a. processes and procedures for developing comprehensive, appropriate treatment goals; b. processes and procedures associated with integrating assessment results, caregiver or client/patient/student preferences, and treatment outcomes research; c. factors that affect when to begin, modify, or terminate a treatment plan; d. factors that affect the order in which treatment goals are addressed
    • A. Treatment Planning — 3. Determining appropriate treatment details: a. factors related to treatment scheduling (e.g., number and duration of sessions, time and location of sessions); b. factors related to treatment delivery (e.g., individual versus group sessions, sequential or simultaneous targeting of goals); c. personnel requirements (e.g., extent to which caregivers, teachers, peers, etc., are involved with treatment); d. training requirements (e.g., extent to which caregivers, teachers, peers, etc., need to be trained prior to participating in treatment or implementing generalization activities)
    • A. Treatment Planning — 4. Generating a prognosis: a. considering/accounting for client/patient/student factors (e.g., age, motivation, nature of disorder) that can affect treatment outcome; b. considering/accounting for external factors (e.g., family support, availability of services) that can affect treatment outcome
    • A. Treatment Planning — 5. Communicating recommendations: a. procedures, requirements, and best practices for communicating treatment-related recommendations to clients/patients/students and (when appropriate) their family members; b. procedures, requirements, and best practices for communicating treatment-related recommendations to other professionals who are involved in the client/patient/student’s treatment plan; c. principles of interprofessional practice
    • A. Treatment Planning — 6. General treatment principles and procedures: a. general principles and procedures to consider when selecting a treatment (e.g., age, disorder, sociocultural background, severity of impairment, nature of disability)
    • B. Treatment Evaluation — 1. Establishing methods for monitoring treatment progress and outcomes to evaluate assessment and/or treatment plans: a. procedures associated with identifying appropriate measures of treatment progress and treatment outcomes; b. methods associated with measuring baseline performance; c. methods associated with measuring progress while treatment is ongoing; d. procedures associated with modifying progress measures, if necessary, while treatment is ongoing; e. methods associated with evaluating performance when treatment concludes (e.g., short- and long-term outcomes); f. methods associated with determining the social validity of treatment outcomes and the impact of treatment outcomes on a client/patient’s quality of life
    • B. Treatment Evaluation — 2. Follow-up on post-treatment referrals and recommendations
    • C. Treatment — 1. Speech sound production: a. principles and characteristics of interventions used in the treatment of disorders that affect speech sound production; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with speech sound production disorders or differences
    • C. Treatment — 2. Fluency: a. principles and characteristics of interventions used in the treatment of fluency disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with fluency disorders
    • C. Treatment — 3. Voice, resonance, and motor speech: a. voice (–– principles and characteristics of interventions used in the treatment of voice disorders; –– strategies and procedures for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with voice disorders); b. resonance (–– principles and characteristics of interventions used in the treatment of resonance disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with resonance disorders); c. motor speech (–– principles and characteristics of interventions used in the treatment of motor speech disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with motor speech disorder)
    • C. Treatment — 4. Receptive and expressive language: a. principles and characteristics of interventions used in the treatment of receptive and expressive disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disabilities associated with receptive and expressive language functioning
    • C. Treatment — 5. Social aspects of communication, including pragmatics: a. principles and characteristics of interventions used to treat social aspects of communication, including pragmatics; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with social aspects of communication
    • C. Treatment — 6. Communication impairments related to cognition: a. principles and characteristics of interventions used to treat communication impairments that are related to cognitive functioning; b. srategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with cognitively based communication impairments
    • C. Treatment — 7. Treatment involving augmentative and alternative communication: a. factors involved in determining candidacy for AAC approaches; b. factors involved in selecting an appropriate AAC approach; c. principles and characteristics of AAC options/strategies; strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability in those who use AAC
    • C. Treatment — 8. Hearing and aural rehabilitation: a. principles and characteristics of interventions used in the treatment of hearing loss; b. strategies for preventing, reducing, or eliminating speech-language and/or related (e.g., educational, occupational) disability associated with hearing impairment
    • C. Treatment — 9. Swallowing and feeding: a. rationale for selection of interventions used in the treatment of swallowing and feeding disorders based on evaluation data; b. other factors (outside of evaluation data) affecting the likelihood of success for a given treatment for feeding/swallowing disorders; c. strategies for preventing, reducing, or eliminating swallowing and feeding disorders; d. strategies for reducing the common health-related adverse consequences of swallowing and feeding disorders
Examination sources