How to Become a Speech-Language Pathologist in North Carolina

:: 2025 Guide

Speech Pathologist Programs

by Speech Pathologist Programs Staff

Updated: July 17th, 2025

These guides are for aspiring and current speech-language pathologists in North Carolina, detailing state-specific steps, educational prerequisites, supervised experience, exam and fee requirements. They help professionals navigate the full licensure process, including initial licensure, renewal, and transferring credentials. Select a licensure pathway option from below that best suits your needs.

SLP Licensure Guides


  • Initial Licensure

    This pathway is for individuals with a master’s degree in speech-language pathology, completed supervised clinical experience and fellowship requirements, and passed the national exam, enabling them to obtain their first North Carolina SLP license. It’s tailored for new professionals entering practice in schools, clinics, healthcare, or private settings.

  • License Renewal

    This route applies to licensed SLPs in North Carolina who must renew their license periodically by completing continuing education credits and paying renewal fees. It ensures practitioners remain compliant, current in their field, and legally eligible to practice.

  • Reciprocity (Out-of-State)

    This pathway is for speech-language pathologists who hold a current license in another U.S. jurisdiction and wish to practice in North Carolina. It allows qualified professionals to transfer their credentials by demonstrating equivalency with the state’s licensing standards and begin practicing without delay.


SLPA Licensure Guides


  • Initial Licensure

    This pathway is for individuals who have completed an approved assistant-level program and required supervised clinical hours, seeking their first North Carolina SLPA certification. It’s designed for those entering assistant roles in educational, clinical, or healthcare settings.

  • License Renewal

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

  • Out-of-State Applicants

    This pathway is for speech-language pathology assistants certified in another U.S. jurisdiction who wish to transfer their credentials to North Carolina. It enables qualified assistants to begin practicing by meeting the state’s certification equivalency requirements.