Missouri Licensing Requirements for Audiology and Speech-Language Pathology

The information below is collected from state licensure boards or regulatory agencies responsible for regulating the professions of speech-language pathology and/or audiology. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Initial Licensure

Audiology

Master's or doctoral degree from an ASHA Council on Academic Accreditation (CAA) accredited program or other accrediting agency approved by the Advisory Commission for Speech-Language Pathologists and Audiologists (Commission)
Evidence of completion of coursework and clinical practicum equivalent to that required by the CAA
Passage of the national examination for speech-language pathology and audiology

Note: Audiologists may dispense hearing aids under an audiology license.

Speech-Language Pathology

Master's or doctoral degree from an ASHA Council on Academic Accreditation (CAA) accredited program or other accrediting agency approved by the Advisory Commission for Speech-Language Pathologists and Audiologists (Commission)
Evidence of completion of coursework and clinical practicum equivalent to that required by the CAA
Evidence of completion of a clinical fellowship*
Passage of the national examination for speech-language pathology and audiology

*Missouri reinstated the requirement for a clinical fellowship and a provisional license through H.B. 2149 (2022) [PDF]. The Board of Registration is in the process of implementing this requirement.

Exemptions

Federal employees
Certified teachers of the deaf
Students
Physicians and surgeons
Council for Accreditation in Occupational Hearing Conservation (CAOHC) technicians
Public school employees with a certificate issued before January 1, 2016, by the Missouri Department of Elementary and Secondary Education while providing services in the school system
Any speech-language pathology assistant completing the required number and type of clinical hours as long as such person is under the direct supervision of a licensed speech-language pathologist and has not completed more than the number of clinical hours required.
When a fee is charged or compensation received, individual must be licensed; this includes college or university clinics that charge a fee, supervisors of student clinicians shall be licensed.

Reciprocity

The board may issue a license to an applicant licensed in another jurisdiction with equivalent or more stringent standards.
The board may issue a license to a Certificate of Clinical Competence (CCC) holder.

Interim Practice

A provisional license to complete the required clinical fellowship is effective for one year and may be extended for an additional twelve months.*

*Missouri reinstated the requirement for a clinical fellowship and a provisional license through H.B. 2149 (2022) [PDF]. The Board of Registration is in the process of implementing this requirement.

Continuing Education

Licensees must complete 30 hours of continuing education every three years. Dual licensees must complete 30 hours of continuing education in each field. Continuing education hours cannot be carried over to the next reporting period.

Audiology & Speech-Language Pathology Interstate Compact

Missouri is a member state of the Audiology & Speech-Language Pathology Interstate Compact. Information on the current status of the ASLP-IC can be found on the ASLP-IC website.