Speech Therapist Jobs in Texas
Speech Therapist jobs in Texas are among the most active in the country, with strong demand at every level from clinical fellows completing their CFY through senior SLPs leading school district programs, hospital departments, and outpatient rehabilitation practices. Houston, Dallas-Fort Worth, and San Antonio anchor most of the hiring, with major employers including Texas Children's Hospital, CHRISTUS Health, and Baylor Scott and White Health consistently posting openings. The most in-demand specialties in Texas are pediatric language and articulation disorders, dysphagia and medical SLP in acute care settings, and early intervention services tied to the state's IDEA Part C programs. Find a role that fits below and apply directly.
Find Speech Therapist JobsOverview
Showing 5 of 98+ Speech Therapist jobs









With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
- Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
- Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
- Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
- Continuing Education: Keep growing with free CEUs through Medbridge.
- H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
- Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
2. SLP-CF must complete all requirements for provisional licensure, if applicable to the state, and practice in accordance to state licensure requirements and professional standards for the duration of the provisional license and Clinical Fellowship. If no provisional licensure in the state, must meet the supervision requirements set forth by CMS for patients with Medicare for the duration of the Clinical Fellowship.
3. Communicates status of Clinical Fellowship and licensure to direct supervisor and Director of Rehab in a timely manner. This includes status of necessary requirements, completion of required documentation for Clinical Fellowship, and completion of licensure documentation and application as well as receipt of CCC and permanent license.
4. SLP-CF will not be eligible to provide supervision to students during the Clinical Fellowship.
5. Meets productivity standards for the rehab gym, or as directed by the Director of Rehab/Clinical Operations Area Director.
6. Attends and contributes to patient care, staffing conferences and other related meetings.
7. Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient.
8. Consults with other members of the rehabilitation team to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient.
9. Adapts program and/or plan of care according to the needs of the individual patient.
10. Promotes a safe environment and enforces the elimination of fire and safety hazards.
11. Orders supplies and equipment as necessary.
12. Cleans, maintains, identifies, and reports the need for repair of equipment, as necessary.
13. Puts Patient Service first, ensuring that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individual's needs and rights.
14. Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the speech language pathology treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as:
- cognitive-communication
- speech intelligibility
- oral motor skills
- swallowing disorders/dysphagia
- perceptual abilities
- orientation
- memory
- pragmatics
- psychosocial expression
- functional communication
16. Facilitates identification of hearing deficits and appropriately refers for assessment, diagnosis rehabilitation and/or personal amplification.
17. Selects appropriate activities suited to the individual's physical and mental capacity, intelligence level and interest.
18. Instructs patient in the skills and techniques required for participation in therapeutic activities, and evaluates patient progress, attitudes and behavior as related to rehabilitative potential.
19. Performs routine reexamination as needed/required to modify/progress plan of treatment.
20. Performs other related duties as required.
Qualifications:
2. The Speech Language Pathologist must be licensed, certified or credentialed, as required in the state of practice.
See All 98 Speech Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Speech Therapist JobsSpeech Therapist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Speech Therapist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Consulting & Professional Services
What Texas Employers Look For
The qualifications that appear most often in speech therapist jobs across Texas.
- Active Texas state license issued by the Texas State Board of Examiners for Speech-Language Pathology and Audiology
- Master's degree in speech-language pathology from a CAPCO-accredited graduate program
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA or active Clinical Fellowship Year status
- Demonstrated clinical experience in a core specialty area such as pediatric disorders, dysphagia, or AAC
- Strong documentation and IEP or treatment plan writing skills for school or medical settings
- Familiarity with Texas Education Agency guidelines for school-based SLPs or Texas Medicaid billing requirements
Speech Therapist Jobs in Texas: Frequently Asked Questions
How do you become a speech therapist in Texas?
To work as a speech therapist in Texas, you must hold a license issued by the Texas State Board of Examiners for Speech-Language Pathology and Audiology. Licensure requires a master's degree in speech-language pathology from a CAPCO-accredited program, completion of a supervised Clinical Fellowship Year, and passing the Praxis exam in Speech-Language Pathology. School-based SLPs in Texas public schools must also meet Texas Education Agency certification requirements, which is a separate credentialing process.
How much do speech therapists make in Texas?
Speech therapists in Texas earn a median of about $99,910 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $66,370 for the lowest 10% to over $132,990 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire speech therapists in Texas?
Employers hiring speech therapists in Texas right now include Angels of Care Pediatric Home Health, Optum, and Regency Integrated Health Services, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems, school districts serving rapidly growing suburban areas, and pediatric specialty hospitals consistently generate some of the steadiest SLP demand in the state.
Which Texas cities have the most speech therapist jobs?
Dallas, San Antonio, and Houston are the Texas cities with the most speech therapist openings, driven by the concentration of major hospital systems, large independent school districts, and pediatric specialty centers in each metro. Rapidly growing suburban areas around Dallas-Fort Worth and Houston also generate significant openings as school districts expand to serve new communities.
Are there remote speech therapist jobs in Texas?
Yes, but they're less common than in desk-based fields because most speech therapy involves direct, in-person patient or student contact. About 18% of speech therapist openings tied to Texas are remote or hybrid as of August 2026. Teletherapy positions do exist and tend to concentrate in school-based contracting and early intervention services, where providers work with students or families across underserved or rural Texas regions.
How can I get hired as a speech therapist in Texas with little or no experience?
The most realistic entry path is completing your Clinical Fellowship Year with a Texas employer that structures CFY supervision as part of the hire, which large school districts like Houston ISD and Dallas ISD and health systems like Texas Children's Hospital routinely do. New graduates can also target early intervention contractor roles under the Texas Early Steps program or look for SLP assistant positions, which Texas licenses separately, as a way to build hours and clinical exposure before full licensure.
Where can I find and apply to speech therapist jobs in Texas?
You can find and apply to speech therapist jobs in Texas on Migrate Mate, which lists current Texas openings across school districts, hospital systems, outpatient clinics, and early intervention programs. Search the roles that match your specialty and experience level and apply directly to the ones that fit.
See All 98 Speech Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Speech Therapist Jobs