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Schools & medical

Speech-Language Pathologist

Giving people back the ability to be understood.

Typical pay

$70k-$105k

How you get in

Master's in speech-language pathology plus CCC-SLP

Outlook

Strong; shortages in nearly every state

SLPs evaluate and treat speech, language and swallowing disorders in children and adults. School-based work follows the academic calendar; medical settings deal with strokes, head injuries and swallowing safety.

A day in the life

  1. 7:45aPrep materials for the day's sessions
  2. 8:30aBack-to-back therapy sessions, mostly small groups
  3. 11:00aEvaluate a new referral
  4. 12:30pLunch, often an IEP meeting
  5. 1:30pAfternoon caseload
  6. 4:00pDocumentation, progress reports, parent contacts

How to get in

Master of Speech-Language Pathology

Duration

6 years total

Cost

$40,000-$120,000 for the master's

Credential

CCC-SLP plus state license

  1. Complete a bachelor's in communication sciences or a leveling program
  2. Get into a master's program — admission is the hardest step
  3. Complete clinical practicum hours
  4. Finish a paid clinical fellowship year, then earn the CCC-SLP

Career changer with leveling coursework

Duration

1 year leveling, then the master's

Cost

$8,000-$25,000 leveling plus the master's

Credential

CCC-SLP

  1. Hold a bachelor's in any field
  2. Complete post-baccalaureate leveling coursework in communication sciences
  3. Apply to master's programs
  4. Follow the same practicum and fellowship path

SLP assistant first

Duration

2 years

Cost

$8,000-$25,000

Credential

SLPA certification

  1. Complete an SLP assistant program
  2. Work under a licensed SLP at $40k-$55k
  3. Confirm the field fits before committing to the master's
  4. Not all states recognize the SLPA role, so check yours

What people love

  • · Persistent nationwide shortage means real leverage
  • · School calendar or medical setting — very different lives
  • · Private practice is genuinely viable
  • · Deeply meaningful outcomes

What wears people down

  • · Master's degree required, and programs are competitive
  • · Caseloads in schools are frequently overloaded
  • · Paperwork rivals the therapy time
  • · Clinical fellowship year is paid below full rate

From people doing it

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