Speech- language pathologists have the opportunity to reach a variety of patient populations, whether it be those on the autistic spectrum or children or adults who have lost vocal capacity due to diseases such as cancer. Missouri’s recent legislative changes have made the state’s practice environment more friendly towards SLPs.
- Emerson College - Master's in Speech-Language Pathology online - Prepare to become an SLP in as few as 20 months. No GRE required. Scholarships available.
- Arizona State University - Online - Online Bachelor of Science in Speech and Hearing Science - Designed to prepare graduates to work in behavioral health settings or transition to graduate programs in speech-language pathology and audiology.
- NYU Steinhardt - NYU Steinhardt's Master of Science in Communicative Sciences and Disorders online - ASHA-accredited. Bachelor's degree required. Graduate prepared to pursue licensure.
- Calvin University - Calvin University's Online Speech and Hearing Foundations Certificate - Helps You Gain a Strong Foundation for Your Speech-Language Pathology Career.
- George Mason University - George Mason University's Graduate Programs in Special Education, Autism Spectrum Disorders, and Applied Behavior Analysis. - Prepares you for a rewarding career as a Speech and Language Pathologist.
Missouri is home to 10 ASHA-accredited institutions that offer SLP master’s degrees, so you’ll be able to choose from a variety of programs and select one that’s right for you.
You might choose to connect with other SLPs in Missouri through state-sponsored organizations such as the Missouri Speech-Language-Hearing Association (MSHA). MSHA aims to keep SLPs in the state aware of the most current educational technology and inform them of legislative actions in the state that affect speech-language pathology practice.
You might also choose to pursue continuing education through MSHA’s workshops and seminars, which might include topics such as emotional regulation for speech therapy patients, enhancing literacy and language skills while addressing speech sound disorders, and how to treat apraxia in children.
Missouri governor Jay Nixon signed a bill to modify laws relating to the licensing of speech-language pathologists and audiologists in the state. This law allowed for fewer restrictions for SLP practice, and allows SLPs seeking a clinical fellowship in the state to practice under a full license.
You’ll be issued your license from the Advisory Commission for Speech-Language Pathologists and Audiologists. You may follow the guide below to begin your journey towards becoming a speech therapist in Missouri:
Step 1. Complete an Accredited Graduate Program in Speech-Language Pathology
The Missouri SLP board will require you to complete a master’s degree from an ASHA-accredited institution. In order to be accepted into a graduate program, you’ll usually need:
- A bachelor’s degree
- An undergraduate GPA of at least 3.0
- GRE scores
- A resume of your experience in the field
- At least two academic references
Missouri offers eight programs accredited by ASHA, and you might also choose to pursue an online master’s degree from an accredited institution. Online programs will cover the same material as a traditional program through filmed lectures and online problem modules. You’ll need to complete practicum hours in clinics located near you.
You won’t need a background in speech-language pathology to be accepted into a graduate program, but you will need to complete prerequisites if you haven’t covered the material in your undergraduate work. These include:
- Fundamentals of Speech-Language Pathology
- Basics of Linguistics
- Intro to Augmentative/Alternative Communication
- Treating Dysphagia
- SLP Services in the Medical Setting
- Anatomy and Physiology of Speech
After completing prerequisites, you’ll move into core classes, which will discuss more advanced topics in speech-language pathology, such as:
- Phonetics
- How Hearing Impairments Relate to Development
- Early Intervention
- Normal Language Acquisition
- Common Language Disorders in Children
- Language and Speech Development
- Cognitive-Linguistic Disorders
- Phonological Disorders
Electives might include:
- Sign Language
- Auditory Development
- Instructional Strategies
- Reading for the Hard of Hearing
- Counseling in SLP
- Amplification Systems
- Acoustic Phonetics
- Physiological Phonetics
- Development and Diversity
- Intervention of Voice, Speech and Swallowing Disorders
You’ll also need to gain hands-on experience with speech patients through a clinical practicum. This usually takes place during the last year of the program. You’ll shadow a licensed SLP, learning all of the clinical and diagnostic procedures that are critical to the field.
Step 2. Register for and Pass the National Exam on Speech-Language Pathology
Prior to 2015, Missouri SLP candidates were required to complete a clinical fellowship before registering for the National Examination on Speech-Language Pathology.
However, according to new legislation, you’ll now need to register for the exam after completing a graduate program, and complete your clinical fellowship after becoming fully licensed.
The exam is hosted through Praxis. You may register online.
The test is meant to judge your level of competency in the disciplines of speech-language pathology, and will cover many of the topics that you studied during your graduate work.
The test is made up of 132 questions, is split into three sections, and is graded on a 100-200 scale. You’ll need a 162 to pass.
Some topics that the exam covers are:
- Factors that influence communication, feeding and swallowing
- Epidemiology and characteristics of common communication disorders
- Typical language development across the lifespan
- Wellness and prevention
- Culturally and linguistically appropriate service delivery
- Counseling, collaboration, and teaming
- Documentation of patient reports
- Developing case histories
- Assessing speech sound production
- Assessing voice, resonance, and motor speech
If you’d like to prepare with practice questions, the Praxis study companion is a helpful guide.
You can take the exam in one of 13 Praxis test centers located through Missouri, in these cities:
- West Plains
- Warrensburg
- Louis
- Springfield
- Rolla
- Maryville
- Lees Summit
- Kirksville
- Kansas City
- Joplin
- Jefferson City
- Columbia
- Cape Girardeau
Step 3. Apply for Licensing and Begin Practicing as a Speech-Language Pathologist
Since Missouri no longer requires SLP candidates to complete a clinical fellowship before becoming licensed, you’ll be eligible to apply for licensure once you pass the national exam.
You’ll need to prepare the following documents:
- Licensing application, signed and notarized
- Application fee of $50.00
- Passport photograph
- Official graduate transcript
- Proof of passage of the national examination
- Copy of your social security card
You can mail your application and supporting documents to:
State Board of Registration for the Healing Arts
3605 Missouri Boulevard
P.O. Box 4
Jefferson City, MO 65102-0004
At this point, you might consider earning your Certificate of Clinical Competence in Speech-Language Pathology through ASHA.
To become certified, you’ll need to complete a nine-month clinical fellowship. The clinical fellowship will involve completing clinical and diagnostic procedures under the supervision of a licensed SLP
If you don’t wish to become certified, you might consider:
Opening an Independent Practice
As a fully-licensed SLP, you may choose to open an independent practice or partnership. If you don’t wish to work in the school system or in local clinics or hospitals, this is a good option for you. Running an independent practice lets you focus on therapeutic methods that you find most beneficial for your patients.
Pursuing Job Openings in Missouri
You might also consider a career with one of Missouri’s many SLP employers. Just a few of these include:
- Powderly and Associates
- Oxford Health Care
- Therapeutic Playtime
- Therapy Relief, Inc.
- Dot Com Therapy
- Cox Health
- Oxford Healthcare
- Mercy Healthcare
- BJC Healthcare
- Liberty Hospital
- Children’s Mercy Hospitals and Clinics
- Saint Luke’s Health System
- Heartland Health
- CenterPoint Medical Center
Step 4. Maintain Licensure and Complete Continuing Education Requirements
The Missouri SLP board requires that you renew your license every two years with proof of 24 credits of continuing education.
You can renew your license online.
Continuing education may be completed through the ASHA, the MSHA, or any other national or state-sponsored organization.
You can review ASHA’s continuing education offerings or MSHA’s continuing education credits.
Speech-Language Pathology Salary in Missouri
The average overall salary in Missouri is about $61,700 annually, or about $30 hourly. That puts the average SLP salary in Missouri well above that at $80,730 annually, or $38.81 hourly.
On the highest-end of the salary spectrum, Missouri’s SLPs see yearly earnings that start at $108,500, or $52.16 hourly.
3,100 SLPs work throughout Missouri. The cities in and around Missouri that are home to the highest number of SLPs are:
- St. Louis: 1,760 professionals
- Kansas City: 1,230 professionals
- Metro Fayetteville: 460 professionals
- Springfield: 190 professionals
When it comes to growth, SLP jobs in Missouri are forecast to increase by an impressive 25% over the decade leading up to 2030, a figure that’s well above the national average. That means that on average there should be 260 SLP job openings each year throughout the state over that time frame.
In addition to schools, hospitals, nursing homes and other residential care facilities, outpatient clinics provide some of the best opportunities available to speech-language pathologists interested in working with diverse patient populations. Just some of the independent practices and clinics in Missouri include:
- Blue Springs: Billings Speech Pathology Services
- Creve Couer: Sensory Solutions
- Kansas City: Keenan Stump, SLP
- Kansas City: Sally J. Shubat, MA
- St. Joseph: Weber Speech Clinic
- St. Louis: Speech Language Learning Systems
- St. Louis: The Speech Spot
- St. Louis: Walker Scottish Rite Clinic
SLP Salary Ranges in Missouri’s Most Populated Cities
Missouri’s highest average SLP salaries are in Columbia, metro Fayetteville, St. Joseph, and St. Louis. The highest top-end SLP salaries (90th percentile) are in metro Fayetteville, Columbia, rural North Missouri, and Kansas City.
Take a look through the following figures to compare salaries across the state. They’re listed as a range between the average and high-end (90th percentile) SLP salaries:
Columbia:
- Annual: $90,810 – $122,510
- Hourly: $43.66 – $58.09
Metro Fayetteville:
- Annual: $84,950 – $122,700
- Hourly: $40.84 – $58.99
St. Joseph:
- Annual: $83,200 – $113,800
- Hourly: $40.00 – $54.71
St. Louis:
- Annual: $82,250 – $105,330
- Hourly: $39.54 – $50.64
Kansas City:
- Annual: $81,340 – $118,040
- Hourly: $39.11 – $56.75
Rural Southeast Missouri:
- Annual: $79,210 – $110,080
- Hourly: $38.08 – $52.92
Cape Girardeau:
- Annual: $78,950 – $108,320
- Hourly: $37.96 – $52.08
Rural Southwest Missouri:
- Annual: $78,550 – $109,340
- Hourly: $37.76 – $52.57
Rural North Missouri:
- Annual: $77,770 – $121,040
- Hourly: $37.39 – $58.19
Joplin:
- Annual: $77,600 – $110,560
- Hourly: $37.31 – $53.16
Jefferson City:
- Annual: $75,190 – $110,020
- Hourly: $36.15 – $52.90
Springfield:
- Annual: $74,420 – $99,590
- Hourly: $35.78 – $47.88
Rural Central Missouri:
- Annual: $72,280 – $102,150
- Hourly: $34.75 – $49.11
2023 US Bureau of Labor Statistics salary figures shown here for Speech-Language Pathologists. Job growth projections are from the US Department of Labor-sponsored resource, CareerOneStop. Figures are based on state data, not school-specific information. Conditions in your area may vary. Data accessed September 2024.