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NC · SLP licensure
Everything it takes to get your speech-language pathology license in North Carolina — the licensing board and application steps, the required Praxis 5331 exam and its 162 passing score, the Clinical Fellowship, fees, and renewal rules.
Required Praxis test
Praxis 5331 — Speech-Language Pathology
Passing score
162 (out of 200)
Format
132 multiple-choice questions · 150 minutes · computer-based
Registration
Register through ETS · $146 test fee · offered year-round
Every US state — including North Carolina — accepts the Praxis 5331 at the ASHA-set 162 cut score for SLP licensure. There is no separate state-specific SLP Praxis exam.
Licensing board
North Carolina's board issues both provisional and full SLP licenses and enforces the 162 Praxis 5331 minimum. School SLPs additionally hold DPI licensure through the North Carolina Department of Public Instruction.
Authoritative reference: ASHA state-by-state advocacy page for North Carolina →
The North Carolina SLP market
North Carolina licenses Speech-Language Pathologists through the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists, a stand-alone board separate from the Department of Health and Human Services. The state has one of the fastest-growing SLP markets in the Southeast, driven by population growth in the Raleigh-Durham Research Triangle and Charlotte metro areas. Praxis 5331 at the ASHA-aligned 162 cut score is required for licensure statewide.
BLS OES, North Carolina statewide (approximate range)
Passing score note: North Carolina accepts the ASHA-set 162 passing score on Praxis 5331; the board does not require a higher or state-specific cut score.
The North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists issues the state license required to practice in any setting, based on a CAA-accredited master's degree, verified clinical hours, and a passing Praxis 5331 score. Applications are reviewed on a rolling basis and typically process within a few weeks once documentation is complete.
SLPs working in North Carolina public schools also need a license issued through the North Carolina Department of Public Instruction (NCDPI), which functions similarly to a teaching license. The 162 Praxis score satisfies the content-area exam requirement for the NCDPI credential as well, but the applications and fees are separate from the board license.
North Carolina issues a provisional license that allows new graduates to begin the nine-month Clinical Fellowship under a North Carolina-licensed CCC-SLP supervisor immediately after passing Praxis 5331 and completing their degree. The provisional license must be renewed if the fellowship extends past its initial term.
Once the Clinical Fellowship Experience is complete, fellows submit their CF-2 documentation to the board to convert to full, unrestricted licensure. Supervisors must document direct and indirect observation consistent with ASHA CF requirements throughout the fellowship period.
Public schools employ the largest share of North Carolina SLPs, with Wake County Public School System, Charlotte-Mecklenburg Schools, and Guilford County Schools among the largest single employers in the state. Growing suburban districts around the Research Triangle continue to add SLP positions as enrollment climbs.
Medical SLP roles are concentrated at large health systems including Atrium Health and Novant Health in Charlotte and Duke Health and UNC Health in the Triangle, covering dysphagia, voice, and neurogenic communication disorders. Early-intervention agencies and private pediatric clinics are also well established in both major metro areas.
North Carolina SLP licenses renew annually with the state board, requiring payment of a renewal fee and reporting of completed continuing education hours. The board sets a minimum number of continuing education hours per renewal cycle, which can be earned through ASHA-approved courses, conferences, or approved coursework.
SLPs who also hold the NCDPI school license must track any additional professional development required to maintain that credential, since school licensure renewal follows the state's educator licensure renewal cycle rather than the board's annual cycle.
A partial list of larger CAA-accredited programs. All programs listed prepare graduates to sit for Praxis 5331.
What Praxis score is needed for North Carolina SLP licensure?
North Carolina requires the ASHA-set passing score of 162 on Praxis 5331, the same standard used across the country.
Do North Carolina school SLPs need a credential beyond the state board license?
Yes. School-based SLPs must also hold a license from the North Carolina Department of Public Instruction in addition to the board license, though both rely on the same Praxis 5331 score.
How long does it take to get a North Carolina provisional SLP license for a Clinical Fellowship?
Processing times vary, but most complete applications with transcripts, Praxis scores, and fees are processed within several weeks, allowing new graduates to begin their Clinical Fellowship soon after graduation.
Where is SLP hiring strongest in North Carolina?
The Raleigh-Durham Research Triangle and Charlotte metro area have the highest volume of school and hospital SLP openings, driven by rapid population growth in both regions.
Earn a master's degree in Speech-Language Pathology
Complete a graduate program accredited by the Council on Academic Accreditation (CAA) — the near-universal requirement across US jurisdictions.
Pass the Praxis 5331 with a score of 162 or higher
The Speech-Language Pathology Praxis (5331) is the single national exam accepted by all state boards. 162 is the ASHA-set passing score and every state uses that same cut score.
Complete a Clinical Fellowship (CF)
A 36-week (9-month full-time equivalent) mentored clinical experience under a licensed CCC-SLP. Some states use their own name for it (California calls it the RPE) but the requirement is functionally equivalent.
Submit fingerprints and a background check
Standard across all state boards. Processing typically takes 2–6 weeks and must be completed before the license is issued.
Apply to the state licensing board
Send your Praxis score (ETS score report), transcripts, CF verification, and background clearance to the state board. Some states also require a jurisprudence exam on state SLP practice law.
ETS updated 9/3/2026
North Carolina also uses Praxis for other educator licenses. Speech- Language Pathologists only need 5331 — the full ETS list is included for reference.
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Discount applied in cart. # North Carolina Certifying State or National Agency Alabama Alaska American Samoa Arkansas California Colorado Connecticut Delaware District of Columbia Georgia Guam Hawaii Idaho Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta College of Speech-Language Pathologists and Audiologists American Speech-Language-Hearing Association College of Health and Care Professionals of British Columbia Department of Defense Education Activity (DoDEA) National Association of School Psychologists Educator Preparation Program Requirement [GO](https://praxis.ets.org/state-requirements/northcarolina-tests.html) - [Required Tests](https://praxis.ets.org/state-requirements/northcarolina-tests.html) - [Overview](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Page-Show?cid=northcarolina-overview) ## Tests Required by North Carolina State Agency North Carolina Board of Examiners for Speech-Language Pathologists and Audiologists North Carolina Department of Public Instruction - Teacher Licensure Find your certification area below to determine which test(s) you need to take. For test preparation materials, select the “View test details” link. If you are ready to register, you may add up to 4 tests to your cart before continuing on to scheduling. ## Tests required for all licensure areas ## Admission to North Carolina State-Approved Educator Preparation Programs To be certified in: All Areas You need to take...  Core Academic Skills For Educators: Reading (5713)$90.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5713) Add to Cart Added and  Core Academic Skills For Educators: Writing (5723)$90.00 Qualifying score: 162 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5723) Add to Cart Added and  Core Academic Skills For Educators: Mathematics (5733)$90.00 Qualifying score: 150 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5733) Add to Cart Added ## Tests required for specific licensure areas ## Elementary Education To be certified in: Elementary Education (K-5) You need to take...  Elementary Education: Mathematics CKT (7813)$78.00 Qualifying score: 150 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=7813) Add to Cart Added ## Middle School Education To be certified in: Language Arts (Middle Grades) You need to take...  Middle School English Language Arts (5047)$156.00 Qualifying score: 164 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5047) Add to Cart Added To be certified in: Mathematics (Middle Grades) You need to take...  Middle School Mathematics (5164)$130.00 Qualifying score: 157 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5164) Add to Cart Added To be certified in: Science (Middle Grades) You need to take...  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Biology (5236)$130.00 Qualifying score: 154 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5236) Add to Cart Added To be certified in: Chemistry (Secondary) You need to take...  Chemistry (5246)$130.00 Qualifying score: 146 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5246) Add to Cart Added To be certified in: Earth Science (Secondary) You need to take...  Earth and Space Sciences (5572)$130.00 Qualifying score: 154 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5572) Add to Cart Added To be certified in: Economics (Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added To be certified in: English (Secondary) You need to take...  English Language Arts: Content Knowledge (5038)$130.00 Qualifying score: 167 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5038) Add to Cart Added To be certified in: Geography (Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added To be certified in: History (Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added To be certified in: Mathematics (Secondary) You need to take...  Mathematics (5165)$130.00 Qualifying score: 159 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5165) Add to Cart Added To be certified in: Physics (Secondary) You need to take...  Physics (5266)$130.00 Qualifying score: 145 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5266) Add to Cart Added To be certified in: Political Science (Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added To be certified in: Science (Comprehensive, Secondary) You need to take...  General Science (5436)$130.00 Qualifying score: 141 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5436) Add to Cart Added To be certified in: Social Studies (Comprehensive, Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added To be certified in: Sociology (Secondary) You need to take...  Social Studies (5581)$130.00 Qualifying score: 153 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5581) Add to Cart Added ## All Grades To be certified in: Academically/Intellectually Gifted (K-12) You need to take...  Gifted Education (5358)$130.00 Qualifying score: 157 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5358) Add to Cart Added To be certified in: Art (K-12) You need to take...  Art: Content and Analysis (5135)$156.00 Qualifying score: 161 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5135) Add to Cart Added To be certified in: Health Specialist (K-12) You need to take...  Health Education (5551)$130.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5551) Add to Cart Added To be certified in: Health and Physical Education (K-12) You need to take...  Health and Physical Education: Content Knowledge (5857)$130.00 Qualifying score: 160 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5857) Add to Cart Added To be certified in: Music (K-12) You need to take...  Music: Content and Instruction (5114)$156.00 Qualifying score: 162 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5114) Add to Cart Added To be certified in: Physical Education (K-12) You need to take...  Physical Education: Content Knowledge (5091)$130.00 Qualifying score: 152 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5091) Add to Cart Added To be certified in: Reading (Bachelor's Level, K-12) You need to take...  Teaching Reading: K-12 (5206)$156.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5206) Add to Cart Added To be certified in: Reading (Graduate Level, K-12) You need to take...  Reading Specialist (5302)$156.00 Qualifying score: 165 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5302) Add to Cart Added To be certified in: Speech Communication (K-12) You need to take...  Speech Communication: Content Knowledge (5221)$130.00 Qualifying score: 143 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5221) Add to Cart Added and  Principles of Learning and Teaching (PLT): PreK–12 (5625)$156.00 Qualifying score: 157 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5625) Add to Cart Added ## World Languages To be certified in: English as a Second Language (K-12) You need to take...  English to Speakers of Other Languages (5362)$130.00 Qualifying score: 155 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5362) Add to Cart Added To be certified in: French (Secondary, K-12) You need to take...  French: World Language (5174)$170.00 Qualifying score: 162 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5174) Add to Cart Added To be certified in: German (Secondary, K-12) You need to take...  German: World Language (5183)$170.00 Qualifying score: 163 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5183) Add to Cart Added To be certified in: Latin (9-12) You need to take...  Latin (5601)$130.00 Qualifying score: 146 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5601) Add to Cart Added To be certified in: Spanish (Secondary, K-12) You need to take...  Spanish: World Language (5195)$170.00 Qualifying score: 168 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5195) Add to Cart Added ## Special Education To be certified in: Exceptional Children Program Administrator You need to take...  Educational Leadership: Administration and Supervision (5412)$130.00 Qualifying score: 146 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5412) Add to Cart Added To be certified in: Special Education: Adapted Curriculum You need to take...  Special Education: Severe to Profound (5547)$130.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5547) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: Behaviorally/Emotionally Disabled You need to take...  Special Education: Teaching Students with Behavioral Disorders and Emotional Disturbances (5372)$130.00 Qualifying score: 154 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5372) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: Cross Categorical You need to take...  Special Education: Foundational Knowledge (5355)$130.00 Qualifying score: 145 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5355) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: General Curriculum (K-12) You need to take...  Elementary Education: Mathematics CKT (7813)$78.00 Qualifying score: 150 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=7813) Add to Cart Added and  Special Education: Foundational Knowledge (5355)$130.00 Qualifying score: 145 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5355) Add to Cart Added To be certified in: Special Education: Learning Disabled You need to take...  Special Education: Teaching Students with Learning Disabilities (5383)$130.00 Qualifying score: 151 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5383) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: Mentally Disabled You need to take...  Special Education: Teaching Students with Intellectual Disabilities (5322)$130.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5322) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: Severely Profoundly Mentally Disabled You need to take...  Special Education: Teaching Students with Intellectual Disabilities (5322)$130.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5322) Add to Cart Added and  Fundamental Subjects: Content Knowledge (5511)$130.00 Qualifying score: 148 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5511) Add to Cart Added To be certified in: Special Education: Visually Impaired You need to take...  Special Education: Teaching Students with Visual Impairments (5282)$130.00 Qualifying score: 163 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5282) Add to Cart Added ## Career & Technical Education To be certified in: Business Education (Career-Technical Education) You need to take...  Business Education: Content Knowledge (5101)$130.00 Qualifying score: 154 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5101) Add to Cart Added To be certified in: Career-Technical Education Director You need to take...  Educational Leadership: Administration and Supervision (5412)$130.00 Qualifying score: 146 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5412) Add to Cart Added To be certified in: Computer Science and IT Education You need to take...  Computer Science (5652)$130.00 Qualifying score: 149 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5652) Add to Cart Added To be certified in: Family and Consumer Sciences (Career-Technical Education) You need to take...  Family and Consumer Sciences (5123)$130.00 Qualifying score: 151 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5123) Add to Cart Added To be certified in: Marketing Education (Career-Technical Education) You need to take...  Marketing Education (5561)$130.00 Qualifying score: 156 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5561) Add to Cart Added To be certified in: Technology Education (Career-Technical Education) You need to take...  Technology and Engineering Education (5053)$130.00 Qualifying score: 157 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5053) Add to Cart Added ## Special Service Personnel To be certified in: Counselor You need to take...  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Educational Leadership: Administration and Supervision (5412)$130.00 Qualifying score: 146 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5412) Add to Cart Added To be certified in: School Psychologist You need to take...  School Psychologist (5403)$156.00 Qualifying score: 155 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5403) Add to Cart Added ### See also links to other Praxis web pages and resources - [The Praxis® Tests Information Bulletin (PDF)](https://praxis.ets.org/on/demandware.static/-/Library-Sites-ets-praxisLibrary/default/dw4d1182d7/pdfs/praxis-information-bulletin.pdf) - [Find Tests & Prep](https://praxis.ets.org/storehome.html) - [Schedule Your Test](https://praxis.ets.org/test-taker/register-process.html) - [Accommodations for Test Takers with Disabilities or Health-related Needs](https://praxis.ets.org/test-takers/disability-accommodations.html) - [Need Assistance](https://praxis.ets.org/contact.html)  For more information about educator requirements in North Carolina: - North Carolina: [Certification website](https://www.dpi.nc.gov/educators/educators-licensure) Other Programs used in North Carolina [Previous](https://praxis.ets.org/state-requirements/northcarolina-tests.html#carousel-7d21548b0ff5a9ef1c93e59596) ## PPAT Measure your application of skills and knowledge in the classroom [Learn more](https://www.ets.org/ppat.html) [Next](https://praxis.ets.org/state-requirements/northcarolina-tests.html#carousel-7d21548b0ff5a9ef1c93e59596) ## Want to compare scores across states? [View scores requirements](https://praxis.ets.org/scores)   Anita     Need Praxis Help? **Hi, I'm Anita your virtual assistant**. How can I help you today?   Email FormClose