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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 and Speech-Language Pathology

  1. 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)
  2. Evidence of completion of coursework and clinical practicum equivalent to that required by the CAA
  3. Passage of the national examination for speech-language pathology and audiology

Note: No postgraduate professional experience is required.

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


  1. Federal employees
  2. Certified teachers of the deaf
  3. Students
  4. Physicians and surgeons
  5. Council for Accreditation in Occupational Hearing Conservation (CAOHC) technicians
  6. 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
  7. 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.
  8. 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.


  • 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

Missouri no longer requires a clinical fellowship for licensure and will no longer issue provisional licenses.

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.

Board Oversight

Board of Registration for the Healing Arts, Advisory Commission for Speech-Language Pathologists and Audiologists


For further information on laws and regulations for speech-language pathologists and audiologist, please visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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