How to Get Your SLP License in Maryland: Step-by-Step
Earning your Maryland speech-language pathology license involves a clear sequence of milestones, but the process has a few state-specific wrinkles that catch applicants off guard. Here is what to expect from graduation day through your first full license, along with current fees and timelines.
Step 1: Complete a CAA-Accredited Master's Program
Before anything else, you need a master's degree from a program accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA). Maryland does not accept degrees from non-accredited programs, so verify your program's status before you enroll. You can check the full list of CAA-accredited SLP programs to confirm your school qualifies.
Step 2: Pass the Praxis SLP Examination
Register for the Praxis Examination in Speech-Language Pathology through ETS and earn a passing score of 162 or higher. Maryland accepts this national exam as its sole knowledge test for initial licensure. Most graduates schedule the Praxis in their final semester so the score is available shortly after commencement.
Step 3: Apply for a Limited License
Once you have your degree and Praxis score in hand, submit a Limited License application to the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers and Speech-Language Pathologists. The current application fee is $100. The Limited License allows you to practice under supervision while completing your Clinical Fellowship (CF). This credential is valid for a set period, so it is important to secure your CF placement promptly.
Step 4: Complete Your Clinical Fellowship
Your CF consists of a minimum of 36 weeks of full-time, mentored clinical experience (or the part-time equivalent). Your CF supervisor must hold a current, unrestricted license or the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP). Throughout the fellowship, you will build the independent clinical judgment skills that the Board expects of a fully licensed practitioner. For a deeper look at fellowship expectations and timelines, see our ASHA Clinical Fellowship guide.
Step 5: Pass the Maryland Law and Regulations Exam
Maryland requires applicants for full licensure to pass a state-specific exam covering Maryland laws and regulations governing speech-language pathology practice. Study the Board's practice act and related regulations carefully, as the exam focuses on scope of practice rules, supervision requirements, and ethical obligations specific to the state.
Step 6: Apply for Full Licensure
With your CF complete and the state exam passed, submit your full license application along with the $150 application fee. Processing times can vary, but many applicants report receiving their license within several weeks of submitting a complete application. From graduation to full licensure, the overall timeline is roughly 7 to 9 months, depending largely on how quickly you begin and complete your Clinical Fellowship.
New Requirement: Implicit Bias Training (Effective October 2025)
Beginning in October 2025, Maryland will require licensed SLPs to complete implicit bias training as part of their continuing education obligations. While the Board has announced this new mandate, specific hour requirements and approved training formats are still being finalized. Keep an eye on the Board's website or call (410) 764-4725 for the latest guidance on how this training integrates into the biennial renewal cycle. Full licenses renew every two years at a cost of $250.
A Note on the CCC-SLP
Maryland does not technically require the CCC-SLP from the American Speech-Language-Hearing Association to practice in the state. However, most employers, particularly hospitals and private practices, expect it. It is also necessary for billing Medicare. Pursuing CCC-SLP certification alongside your state license is a practical move that broadens your employment options considerably.