OpenExamsFREE PRACTICE — ANY EXAM

North Dakota Speech-Language Pathology — Requirements & Free Practice

US-ND · License preparation

307 free questions · Answer explanations · No signup required

Choose what to practice

Start with an exam below. Your examination requirements depend on your application pathway. View licensing requirements

Loading selected examination banks…

Licenses, application pathways and examination requirements

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

Speech-Language Pathology Licensed Assistant

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Foreign practitioner licensure with examination waiver discretion
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Law examination permission
NDCC 43-51-06 allows the Board to require a state-law examination but identifies none; no state exam is inferred from that permission.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Practice
Have practiced the licensed profession for at least two years, or a shorter period authorized by rule or law, and satisfy other licensing requirements.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Waiver
NDCC 43-51-06 permits licensure without examination; NDAC 11-02-01-01(1)(c) and the application instructions still identify Praxis score documentation. Whether a particular applicant must sit or may be waived is a Board decision.
Initial licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Military member or military spouse licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Competency
Demonstrate competency by Board-determined methods; the Board must find that issuance will not substantially increase the risk of public harm.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
The Board grants licensing-standard exceptions by rule or case by case under NDCC 43-51-11.1. Praxis is retained as the named general examination, with any excuse or deferral determined for the applicant.
Military status
Provide military-member or military-spouse status and apply to the Board.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Licensure of an out of state licensee under equivalent standards
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Hold a current license in good standing in another jurisdiction whose standards are at least substantially the same; no pending disciplinary action.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Reciprocity documents
Provide the out-of-state laws and rules in effect when each license was granted, and a copy of each active license.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Relicensure after a lapse of five or more calendar years
Speech-Language Pathology (5331)
Application
File the completed application, licensing fee, $250 relicensure fee, and proof of ten continuing-education clock hours for each unlicensed year.
Exam discretion
The Board may require the applicant to retake and pass the Praxis specialty examination or another Board-approved examination.
Lapse
Be unlicensed for five or more calendar years.
Relicensure after a lapse shorter than five calendar years
No examination is required for this applicant pathway.
Application
File a completed license application, licensing fee, $250 relicensure fee, and proof of ten clock hours of continuing education for each unlicensed year.
Lapse
Be unlicensed for less than five calendar years.

Official no-examination sources

Effective from 2026-09-22.

Annual renewal
No examination is required for this applicant pathway.
Application
File a completed renewal form, pay the renewal fee, provide ten clock hours of continuing education for the preceding calendar year, meet applicable supervision requirements, and have no grounds for denial.
Deadlines
The license expires if renewal materials are not filed before January 1; the renewal application must be completed by January 31. Medical or other hardship may support a Board extension.

Official no-examination sources

Effective from 2026-09-22.

Universal licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Competency
Demonstrate competency and education by methods the Board determines.
Discipline
Meet the statutory refusal, discipline, investigation, background-check and fee conditions in NDCC 43-51.1-02(1).
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Eligibility
Be an out-of-state licensee with comparable requirements and active use of the license for two of the preceding three years; the statute makes this route conditional on the absence of an effective compact, executed transfer, mobility or reciprocity agreement.
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.

Speech-Language Pathologist License

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Foreign practitioner licensure with examination waiver discretion
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Possess at least a master degree in speech-language pathology from an institution recognized by the Board.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Law examination permission
NDCC 43-51-06 allows the Board to require a state-law examination but identifies none; no state exam is inferred from that permission.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Practice
Have practiced the licensed profession for at least two years, or a shorter period authorized by rule or law, and satisfy other licensing requirements.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Waiver
NDCC 43-51-06 permits licensure without examination; NDAC 11-02-01-01(1)(c) and the application instructions still identify Praxis score documentation. Whether a particular applicant must sit or may be waived is a Board decision.
Initial licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Possess at least a master degree in speech-language pathology from an institution recognized by the Board.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Military member or military spouse licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Competency
Demonstrate competency by Board-determined methods; the Board must find that issuance will not substantially increase the risk of public harm.
Education
Possess at least a master degree in speech-language pathology from an institution recognized by the Board.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
The Board grants licensing-standard exceptions by rule or case by case under NDCC 43-51-11.1. Praxis is retained as the named general examination, with any excuse or deferral determined for the applicant.
Military status
Provide military-member or military-spouse status and apply to the Board.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Licensure of an out of state licensee under equivalent standards
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Possess at least a master degree in speech-language pathology from an institution recognized by the Board.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Hold a current license in good standing in another jurisdiction whose standards are at least substantially the same; no pending disciplinary action.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Reciprocity documents
Provide the out-of-state laws and rules in effect when each license was granted, and a copy of each active license.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Relicensure after a lapse of five or more calendar years
Speech-Language Pathology (5331)
Application
File the completed application, licensing fee, $250 relicensure fee, and proof of ten continuing-education clock hours for each unlicensed year.
Exam discretion
The Board may require the applicant to retake and pass the Praxis specialty examination or another Board-approved examination.
Lapse
Be unlicensed for five or more calendar years.
Relicensure after a lapse shorter than five calendar years
No examination is required for this applicant pathway.
Application
File a completed license application, licensing fee, $250 relicensure fee, and proof of ten clock hours of continuing education for each unlicensed year.
Lapse
Be unlicensed for less than five calendar years.

Official no-examination sources

Effective from 2026-09-22.

Annual renewal
No examination is required for this applicant pathway.
Application
File a completed renewal form, pay the renewal fee, provide ten clock hours of continuing education for the preceding calendar year, meet applicable supervision requirements, and have no grounds for denial.
Deadlines
The license expires if renewal materials are not filed before January 1; the renewal application must be completed by January 31. Medical or other hardship may support a Board extension.

Official no-examination sources

Effective from 2026-09-22.

Universal licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Competency
Demonstrate competency and education by methods the Board determines.
Discipline
Meet the statutory refusal, discipline, investigation, background-check and fee conditions in NDCC 43-51.1-02(1).
Education
Possess at least a master degree in speech-language pathology from an institution recognized by the Board.
Eligibility
Be an out-of-state licensee with comparable requirements and active use of the license for two of the preceding three years; the statute makes this route conditional on the absence of an effective compact, executed transfer, mobility or reciprocity agreement.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.

Military Provisional Speech-Language Pathology Restricted Educator License

Licensing authority: North Dakota Education Standards and Practices Board · Application information

Military provisional school licensure
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Exceptions
Initial examination completion or documentation may be excused or deferred under the military provisions.
Military status
Be a military member or military spouse who substantially meets licensing requirements.
Practicum
Complete 100 hours of school-based practicum.
Scope
The restricted license permits practice only in the specified specialty area.
Term
No fee; at most two years while making progress toward unmet requirements; subject to NDCC 43-51-11.1 termination events.
Automatic military provisional school licensure after 30 days
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Military status
Be a military member or military spouse with a completed licensure application.
Practicum
Complete 100 hours of school-based practicum.
Scope
The restricted license permits practice only in the specified specialty area.
Term
Valid until a licensure decision or issuance of the subsection 2 authorization.
Trigger
The Board has not decided the license application or issued a provisional license or temporary permit within 30 days.

Forty-Day Provisional Speech-Language Pathology Restricted License

Licensing authority: North Dakota Education Standards and Practices Board · Application information

Forty day provisional issuance pending clearance or documents
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Eligibility
Meet the other restricted-license requirements while background clearance, original documents, degree award or official Praxis scores are pending.
Fee
One-time $65 provisional fee.
Practicum
Complete 100 hours of school-based practicum.
School request
The hiring school submits a letter of need and intent to hire; the applicant supplies the completed packet and intent to accept the position.
Scope
The restricted license permits practice only in the specified specialty area.
Term
Forty days, renewable at ESPB discretion upon continued school request.
Renewal of a forty day provisional license
No examination is required for this applicant pathway.
Approval
Renewal is at ESPB discretion with a continuing request from the hiring school.
Eligibility
Continue to await clearance or original documentation for an otherwise qualified school SLP applicant.
Fee
NDCC 15.1-13-13(2) prohibits a provisional renewal fee.

Official no-examination sources

Effective from 2026-09-22.

Two-Year Re-Entry Speech-Language Pathology Restricted License

Licensing authority: North Dakota Education Standards and Practices Board · Application information

Re entry after an absence of five years
No examination is required for this applicant pathway.
Application
Complete the application requirements and pay the $85 fee.
Background
Complete the required criminal-history fingerprint screening.
Education
Complete eight semester hours of re-education credit during the first two years of contracted employment.
Eligibility
Re-enter school SLP practice after a five-year absence.

Official no-examination sources

Effective from 2026-09-22.

Re entry from another jurisdiction
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Complete eight semester hours of re-education credit in the first two years of contracted service.
Eligibility
Be an out-of-state applicant absent from the profession more than five years, or unable to document six credits in each of the preceding two five-year periods while employed out of state.
Initial requirements
Meet North Dakota initial-licensure requirements as well as re-entry education, including the SLP test named by ESPB.
Practicum
Complete 100 hours of school-based practicum.
Scope
The restricted license permits practice only in the specified specialty area.

Prekindergarten Through Grade Twelve Speech-Language Pathology Restricted License

ESPB authorization restricted to school speech-language pathology; distinct from the professional Board license.

Licensing authority: North Dakota Education Standards and Practices Board · Application information

First five year renewal
No examination is required for this applicant pathway.
Application
Complete the renewal form and pay the $140 five-year fee within the permitted application period.
Experience
Complete 18 months of successful contracted service within the preceding five years under a valid ND license.

Official no-examination sources

Effective from 2026-09-22.

Initial Two Year In State Educators License
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Practicum
Complete 100 hours of school-based practicum.
Praxis
Provide Speech Language Pathology Praxis test scores to complete the application.
Program location
Complete the SLP master degree at a North Dakota college.
Scope
The restricted license permits practice only in the specified specialty area.
Initial Other State Educator License (OSEL)
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Other license
Hold a current, valid other-state SLP educator license and submit its copy.
Practicum
Complete 100 hours of school-based practicum.
Program location
Complete the SLP master degree outside North Dakota.
Scope
The restricted license permits practice only in the specified specialty area.
Test evidence
Submit SLP Praxis scores if completed and the standardized test report used by the other state or college, or evidence of licensure before 2002. The other state examination is an applicant condition.
Testing plan
If neither the standardized score report nor pre-2002 license evidence is available, ESPB issues a plan allowing two years to complete the required North Dakota test. An excuse or timing plan does not remove the current Praxis examination reference.
Initial Out of State Reciprocal License
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Practicum
Complete 100 hours of school-based practicum.
Program location
Complete the SLP master degree outside North Dakota and hold no other-state SLP educator license.
Scope
The restricted license permits practice only in the specified specialty area.
Transcript review
ESPB reviews the transcripts to determine additional education courses or tests required. Unnamed additional tests are applicant conditions.
Military member or military spouse school licensure
Speech-Language Pathology (5331)
Application
Apply in NDTeach and submit official transcripts, required fees and a criminal background-check packet, unless the Board recognizes an existing ND educator license for that check.
Education
Possess a master degree in speech-language pathology or communication disorders from a program accredited by the ASHA Council on Academic Accreditation.
Exceptions
NDCC 43-51-11.1 authorizes case-by-case licensing exceptions; NDAC 67.1-02-02-11 subjects the applicant to the guidelines for the license type.
Fees
Exempt from application and license fees except the background check.
Military status
Provide evidence of military status and complete the required background check.
Practicum
Complete 100 hours of school-based practicum.
Scope
The restricted license permits practice only in the specified specialty area.
Five year Other State Educator License renewal
No examination is required for this applicant pathway.
Education
Meet the re-education requirements applicable to all five-year renewals.
Eligibility
Hold the five-year OSEL form of the school SLP credential.

Official no-examination sources

Effective from 2026-09-22.

Conditional reciprocal renewal
Speech-Language Pathology (5331)
Eligibility
Hold a conditional reciprocal school SLP license with remaining North Dakota requirements.
Progress
The initial two-year reciprocal license may be renewed twice for three additional years with documented and approved progress toward completing the remaining requirements.
Testing plan
Praxis 5331 remains referenced if the remaining licensure plan includes that examination; completed testing and other requirements are applicant-specific.
Return to a two year license after probation
No examination is required for this applicant pathway.
Eligibility
Complete the probationary-license requirements; the Board must then issue a two-year renewal license.

Official no-examination sources

Effective from 2026-09-22.

Succeeding five year renewal
No examination is required for this applicant pathway.
Education
Complete six semester hours of re-education credit documented by college or approved alternative-program transcripts.
Experience
Provide evidence of 30 days of contracted service.

Official no-examination sources

Effective from 2026-09-22.

Two year renewal
No examination is required for this applicant pathway.
Application
Complete the renewal application and pay the $65 fee; application may be submitted only during the six months before expiry.
Experience
Have less than 18 months of successful contracted teaching in North Dakota.
Term
Renewal lasts at least two years and expires on the applicant birthday.

Official no-examination sources

Effective from 2026-09-22.

Military Provisional Speech-Language Pathologist License

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Military provisional licensure with substantially met requirements
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Meet the Board-recognized SLP qualifications for full licensure when completing the temporary authorization.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
The Board may grant licensing exceptions; passing-score documents or sitting may be deferred or excused.
Military status
Be a military spouse or military member with substantially met licensing requirements.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Term
The provisional license has no fee and may not exceed two years; it remains valid while unmet requirements are being satisfied and until a statutory termination event.
Automatic military provisional licensure after 30 days
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Meet the Board-recognized SLP qualifications for full licensure when completing the temporary authorization.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Military status
Be a military spouse or military member with a completed application under NDCC 43-51-11.1(1).
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Term
The automatically issued provisional license remains valid until the Board decides the application or issues the subsection 2 provisional license or temporary permit.
Trigger
The Board has not granted or denied a license or issued a provisional license or temporary permit within 30 days.

Temporary Speech-Language Pathologist License

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Military temporary permit
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Education
Meet the Board-recognized SLP qualifications for full licensure when completing the temporary authorization.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
Examination completion and documentation may be excused or deferred by the Board; the named Praxis requirement remains a reference.
Military status
Be a military spouse or military member who has substantially met competency and public-safety conditions.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Term
No fee for this temporary permit; valid for at most two years while progress is made toward unmet requirements, subject to the termination events in NDCC 43-51-11.1(2).
Temporary licensure based on current licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Documentation timing
Temporary licensure allows completion of full-license documentation during the six-month term; Praxis remains the named examination in the application rule.
Education
Meet the Board-recognized SLP qualifications for full licensure when completing the temporary authorization.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Hold a current license in good standing in another jurisdiction.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Term
Maximum six months; full-license documentation is due then or licensure is suspended. Full licensure must be granted when all documentation meets initial or relicensure requirements.
Temporary licensure based on recent licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Documentation timing
Temporary licensure allows completion of full-license documentation during the six-month term; Praxis remains the named examination in the application rule.
Education
Meet the Board-recognized SLP qualifications for full licensure when completing the temporary authorization.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Have held a license in good standing in another jurisdiction within the past five years.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Term
Maximum six months; full-license documentation is due then or licensure is suspended. Full licensure must be granted when all documentation meets initial or relicensure requirements.

Military Provisional Speech-Language Pathology Licensed Assistant License

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Military provisional licensure with substantially met requirements
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
The Board may grant licensing exceptions; passing-score documents or sitting may be deferred or excused.
Military status
Be a military spouse or military member with substantially met licensing requirements.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Term
The provisional license has no fee and may not exceed two years; it remains valid while unmet requirements are being satisfied and until a statutory termination event.
Automatic military provisional licensure after 30 days
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Military status
Be a military spouse or military member with a completed application under NDCC 43-51-11.1(1).
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Term
The automatically issued provisional license remains valid until the Board decides the application or issues the subsection 2 provisional license or temporary permit.
Trigger
The Board has not granted or denied a license or issued a provisional license or temporary permit within 30 days.

Temporary Speech-Language Pathology Licensed Assistant License

Licensing authority: North Dakota State Board of Examiners on Audiology and Speech-Language Pathology · Application information

Military temporary permit
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Exceptions
Examination completion and documentation may be excused or deferred by the Board; the named Praxis requirement remains a reference.
Military status
Be a military spouse or military member who has substantially met competency and public-safety conditions.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Term
No fee for this temporary permit; valid for at most two years while progress is made toward unmet requirements, subject to the termination events in NDCC 43-51-11.1(2).
Temporary licensure based on current licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Documentation timing
Temporary licensure allows completion of full-license documentation during the six-month term; Praxis remains the named examination in the application rule.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Hold a current license in good standing in another jurisdiction.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Term
Maximum six months; full-license documentation is due then or licensure is suspended. Full licensure must be granted when all documentation meets initial or relicensure requirements.
Temporary licensure based on recent licensure
Speech-Language Pathology (5331)
Application
Submit the signed Board application, fee, official degree transcripts, and any information or personal appearance reasonably required by the Board.
Clinical experience
NDAC 11-02-01-08(2) specifies 100 hours of direct clinical experience under a licensed SLP with at least 25 percent direct clinical supervision, or equivalent work experience approved by the Board.
Documentation timing
Temporary licensure allows completion of full-license documentation during the six-month term; Praxis remains the named examination in the application rule.
Education
Possess 100 hours of supervised clinical experience or fieldwork and a pre-August 1, 2026 DPI SLP paraprofessional certificate, a qualifying SLP or communication-disorders bachelor degree, or a two-year assistant degree or another bachelor degree with the six subject areas specified in NDCC 43-37-04(1)(c).
Exam application scope
The July 2026 version of NDAC 11-02-01-01 explicitly includes licensed assistants and says each license application must carry the SLP Praxis specialty passing score or another Board-approved examination; no separately named assistant examination is assigned.
Exam discretion
Out-of-state examination waivers remain applicant conditions under NDCC 43-37-04.1; a currently offered Praxis score remains an exam reference when this pathway involves it.
Other approved examination
The rule also permits another examination approved by the Board; it names no additional examination.
Other license
Have held a license in good standing in another jurisdiction within the past five years.
Passing score
Provide an official or authenticated passing Praxis specialty score at the ASHA passing standard applicable when the test was administered.
Score documentation
The Board application instructions state: "Proof of passing PRAXIS test score. If you do not have documentation of passing PRAXIS test score, then upload proof of current ASHA certification."
Score window
NDCC 43-37-04(3) requires passing the applicable examination within one year of application.
Supervision
Provide a written supervision plan with a licensed SLP who has practiced for 18 months after initial licensure; follow NDAC 11-02-01-08 direct and indirect supervision requirements.
Term
Maximum six months; full-license documentation is due then or licensure is suspended. Full licensure must be granted when all documentation meets initial or relicensure requirements.

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