How to Become a Speech-Language Pathologist in Missouri

:: 2025 Guide

Speech Pathologist Programs

by Speech Pathologist Programs Staff

Updated: July 15th, 2025

If you’re considering a career in speech-language pathology or are already a licensed professional in another state, these guides will provide you with the necessary information to obtain a license in Missouri. Select a licensure pathway from the list below that best meets your needs.

SLP Licensure Guides


  • Initial Licensure

    This pathway is for individuals with a master’s degree in speech‑language pathology, who have completed the required supervised clinical practicum and fellowship and passed the national exam, enabling them to obtain their first Missouri SLP license. It’s designed for new professionals entering roles in schools, clinics, or healthcare settings.

  • License Renewal

    This route is for currently licensed SLPs in Missouri who must periodically renew their license by fulfilling continuing education obligations and submitting renewal payments. It ensures that practitioners stay professionally current and legally authorized to practice in the state.

  • Reciprocity (Out-of-State)

    This pathway is intended for speech-language pathologists already licensed in another U.S. jurisdiction who wish to practice in Missouri. It allows qualified professionals to transfer their credentials by demonstrating equivalency with Missouri’s licensure requirements, making relocation smoother.


SLPA Licensure Guides


  • Initial Licensure

    This pathway is for individuals who have completed an approved assistant-level program and required supervised clinical hours to obtain their first certification as an SLPA in Missouri. It’s aimed at newcomers entering assistant roles in educational, clinical, or healthcare environments.

  • License Renewal

    This route applies to certified SLPAs in Missouri who must renew their certification periodically by completing continuing education and paying required renewal fees. It ensures assistants stay up-to-date, competent, and legally eligible to practice.

  • Reciprocity (Out-of-State)

    This pathway is for speech-language pathology assistants already certified in another U.S. jurisdiction who want to transfer their credentials to Missouri. It allows qualified assistants to begin practicing by demonstrating equivalency with Missouri’s certification standards.