International Speech-Language Pathologists (SLPs) looking to practice in the United States must earn the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association (ASHA) and complete state-specific licensing board requirements.
Success Rate
12–18 Months
$2,000 – $3,500 USD
Total Duration
Estimated Cost
Success Rate
Difficulty Level
Follow these steps to achieve your global medical career
Submit your complete academic files to World Education Services (WES) or another approved NACES member for a course-by-course evaluation matching a US Master's degree.
Apply online via ASHA’s system, uploading your verified credential reports, detailed university clinical hours logs, and structural syllabus descriptions.
Register for and pass the national computer-based Praxis specialty examination administered via ETS, securing a passing scaled score threshold of 162.
Complete 1,260 hours of mentored, supervised professional clinical practice within a healthcare facility or school system under an ASHA-certified supervisor.
Upon verification of your CFY report and your passing Praxis metrics, ASHA awards the full Certificate of Clinical Competence, enabling state license activation.
Essential prerequisites for this pathway
Downloadable guides and references
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