How to Get a Speech-Language Pathologist License in North Carolina
Last updated: March 2, 2026
North Carolina is one of the fastest-growing states, with strong demand in Charlotte, Raleigh, and the Research Triangle, making it an excellent place to start a career as a speech-language pathologist. Licensing in North Carolina is overseen by the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists. The process requires 2400 hours of pre-license education and costs between $59,500 and $60,500 in total. You'll need to pass the Praxis SLP Exam (5331) (administered by North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists) with a score of at least 70%.
At 2400 hours, North Carolina has one of the higher pre-license education requirements in the country. This is close to the national average of 2400 hours. Budget between $59,500 and $60,500 for the total licensing process, including education, application, and exam fees. Most aspiring speech-language pathologists complete the entire process in 4-7 months, depending on how quickly they move through the coursework and exam preparation.
North Carolina Speech-Language Pathologist License Requirements
| Requirement | Details |
|---|---|
| Minimum Age | 18 years old |
| Pre-License Education | 2400 hours |
| Degree Required | No |
| Exam Required | Yes — Praxis SLP Exam (5331) |
| Passing Score | 70% |
| Background Check | Yes |
| Broker Sponsorship | Not required |
| Application Fee | $150 |
| Exam Fee | $120 |
| Governing Body | North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists |
| License Reciprocity | Partial |
Reciprocity:
Steps to Get Your Speech-Language Pathologist License in North Carolina
- 1
Earn a Master's Degree in Speech-Language Pathology
Graduate from a CAA-accredited master's program in speech-language pathology. Programs typically take 2-3 years after a bachelor's degree.
Time: 6-7 years (4-year bachelor's + 2-3-year master's) Cost: $350 - 2
Complete a Clinical Fellowship (CF)
Complete a supervised Clinical Fellowship of at least 36 weeks of full-time clinical experience (1,260 hours minimum) under a certified SLP.
Time: 9-12 months - 3
Pass the Praxis SLP Exam
Register and pass the Praxis Speech-Language Pathology exam (5331) administered by ETS. You need a score of 162 or higher. The exam fee is $120.
Time: 2-4 weeks to schedule Cost: $120 - 4
Apply for State Licensure and ASHA CCC-SLP
Submit your license application to the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists and apply for the ASHA Certificate of Clinical Competence (CCC-SLP). The application fee is $150.
Time: 4-8 weeks Cost: $150 - 5
Begin Your SLP Career
Once licensed, you can practice speech-language pathology in North Carolina. SLPs work in schools, hospitals, rehabilitation centers, private practices, and home health.
Time: Immediate once licensed
Key Things to Know
- Education requirement: . Many providers offer online options, giving you flexibility to study on your own schedule.
- The licensing exam: The Praxis SLP Exam (5331) is administered by North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists. You'll need to score at least 70% to pass. Study materials and practice exams are available from most education providers.
- Background check required: North Carolina requires a criminal background check as part of the application process. Plan for additional processing time and fees.
- Online application available: North Carolina accepts online applications, which can speed up processing time.
- Ongoing requirements: Once licensed, you'll need 20 hours of continuing education every 2 years. .
How North Carolina Compares
North Carolina requires 2400 hours of pre-license education for speech-language pathologists. This is close to the national average of 2400 hours. The average total cost in North Carolina is around $60,000, compared to the national average of $61,740.
How Much Does a Speech-Language Pathologist License Cost in North Carolina?
| Cost Item | Estimated Range |
|---|---|
| Pre-License Education | $300 - $700 |
| Application Fee | $150 |
| Exam Fee | $120 |
| Total Estimated Cost | $59,500 - $60,500 |
License Renewal
- Renewal Period: Every 2 years
- Continuing Education: 20 hours
- CE Details:
- Renewal Fee: $150
Tips for Success
- Choose your education provider carefully: Compare prices, format (online vs. in-person), and reviews. Some providers offer exam prep materials bundled with the course, which can save you money. Check the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists website for a list of approved providers.
- Don't rush the exam: With 2400 hours of required coursework, consider a structured schedule — completing one course at a time helps avoid burnout. Use practice exams to identify weak areas before scheduling your test date.
- Build a strong Clinical Fellowship experience: Your CF year is critical for developing independent clinical skills. Choose a mentor who provides regular feedback and exposure to diverse caseloads. Schools, hospitals, and SNFs offer different learning opportunities.
- Develop a specialty area early: SLPs who specialize in areas like pediatric feeding disorders, voice therapy, fluency, or dysphagia often earn more and have higher job satisfaction. Pursue specialty certifications through ASHA once you're established.
- Budget approximately $60,500 for your North Carolina license: This includes $150 in application fees, $120 for the exam, and education costs. Once licensed, plan for $150 in renewal fees every 2 years.
Frequently Asked Questions
How long does it take to get a speech-language pathologist license in North Carolina?
Most people complete the process in 3-6 months total. The pre-license education (2400 hours) takes the longest. After completing education, the exam and application process typically adds 2-6 weeks.
How much does it cost to get a speech-language pathologist license in North Carolina?
The total cost ranges from $59,500 to $60,500, including pre-license education, the application fee ($150), and the exam fee ($120).
Can I get a North Carolina speech-language pathologist license with a criminal record?
The North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists evaluates criminal history on a case-by-case basis. Having a criminal record does not automatically disqualify you, but certain offenses may affect your eligibility. Contact the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists for guidance before applying.
Do I need a college degree to become a speech-language pathologist in North Carolina?
No. North Carolina does not require a college degree. You only need to complete the 2400 hours of approved pre-license courses.
Can I take the pre-license courses online in North Carolina?
Many approved education providers offer pre-license courses online, allowing you to study at your own pace. Check the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists website for a list of approved providers.