Verified October 9, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What SLPs and audiologists miss in North Carolina
- North Carolina counts CE over three years, not two.
- SLPAs register with the board and must pass a competency test.
- The board proposed new SLPA supervision rules in 2026, so check the current rule before planning SLPA staffing.
Can I practice in North Carolina on an ASLP Compact privilege?
North Carolina has enacted the ASLP Compact but is not issuing privileges yet. Until it does, practicing here takes a North Carolina license, and a North Carolina license does not yet give you a privilege anywhere else.
- Enacted, not issuing yet
Can an SLP or audiologist licensed elsewhere get a North Carolina license by endorsement?
SLPs and audiologists holding an active, full, unrestricted license in another state apply through the board's reciprocal licensure application. Applicants holding only a temporary or provisional license elsewhere follow a separate path.
- Endorsement route available
Citation: NCBOESLPA reciprocal licensure page
Which exams does North Carolina require for a license?
The written exam is the ETS specialty exam in speech-language pathology or audiology, which the rule still describes as part of the National Teacher's Examination, now the Praxis.
- Praxis exam
How do clinical fellows get licensed in North Carolina?
A temporary license covers the supervised experience year and must be issued before you start. You file Form B, a supervision plan, show at least 400 supervised clinical hours, and file Form C within 20 days of finishing. The board accepts telesupervision as direct supervision when the supervisor finds it appropriate.
- Temporary license
Citation: G.S. 90-298; 21 NCAC 64 .0106
Does North Carolina license SLP assistants?
SLPAs register with the board and need an SLPA associate degree, or a bachelor's plus specific community college SLPA courses, and a passing board-approved competency test. A full-time SLP may be primary supervisor for no more than two assistants, and a part-time SLP for one.
- Speech-language pathology assistant registration
What audiologists need to know in North Carolina
Licensed audiologists may fit and dispense hearing aids under board rules that adopt the FDA hearing aid regulations and require written disclosure of all fees before purchase.
- Dispensing covered by the audiology license
How often does a North Carolina SLP or audiology license renew?
Licenses renew every year with a signed CE compliance statement. The CE requirement is 30 hours over a three-year cycle, which can be synced to your ASHA cycle. Temporary licensees owe no CE during the supervised year.
- Renews every year
- 30 CE hours per cycle
Licensing in North Carolina?
For a license, we send your Praxis scores and verifications, file the application and carry the board correspondence. License by endorsement is $599 for an SLP or audiologist.