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State Board of Psychology
 
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 Guideline for Requirements for Provision of Psychological Services Regardless of Delivery Method

 

Board Services

Rules and regulations - A hard copy is available from the Board office upon request.  Remember to include your mailing address with your request.

Name Change - Will be made only when a copy of an official document (marriage certificate, divorce decree or court order) is submitted with a letter of request.  The fee for a duplicate license is $5.00 (check or money order) payable to the Commonwealth of PA.

Address Change - Written requests should include the old address, new address and license number and/or social security number.  The Board must be notified within 10 days of any change in address.

Verification of licensure to another state with or without examination score(s) - A check made payable to the "Commonwealth of PA" is required.  The fee for a verification of licensure to another state without examination score(s) is $15.00.  The fee for a verification of licensure to another state with examination score(s) is $25.00.  Submit your request in writing including your name, license number and address of the other state licensing board. Your fee and information should be sent to the State Board of Psychology, P.O. Box 2649, Harrisburg, PA 17105.  NOTE:  As a result of document fraud and in an effort to protect its licensees, the Board will only provide direct source verification of your license to another state licensing agency.

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Board Applications:

If you require special accommodation in downloading or viewing a form, please email the BPOA Webmaster at RA-BPOA@pa.gov.

Psychology Applications for Examination and Licensure

The Board's regulations allow applicants to sit for the examinations prior to the completion of post doctoral experience.  The first set of applications below is for applicants who are applying to sit for the examinations prior to the completion of post doctoral experience.  Please choose the application based upon your doctoral program and when you began/will begin earning post doctoral experience.

 Application to Request Approval to Sit for the Psychology Licensing Examinations (PRIOR TO THE COMPLETION OF POST DOCTORAL EXPERIENCE):

 APPL #863-101 - For first-time applicants who meet the following criteria:

  1. Have received a doctoral degree from a program that is either accredited by the American Psychological Association (APA) or designated by the Association of State and Provincial Psychology Boards (ASPPB)/National Register Designation Project.
  2. Post doctoral experience began on or before December 5, 2010.

APPL #863-102 - For first-time applicants who meet the following criteria AND were enrolled in the doctoral program prior to July 1, 2008:

  1. Have received a doctoral degree from a program that is NOT accredited by APA or designated by the ASPPB/National Register Designation Project (must have been enrolled in the program prior to July 1, 2008).
  2. Post doctoral experience began on or before December 5, 2010.

APPL #863-103 - For first-time applicants who meet the following criteria:

  1. Have received a doctoral degree from a program that is either accredited by APA or designated by the ASPPB/National Register Designation Project.
  2. Post doctoral experience began on or after December 6, 2010.

APPL #863-104 - For first-time applicants who meet the following criteria AND were enrolled in the doctoral program prior to July 1, 2008

  1. Have received a doctoral degree from a program that is NOT accredited by APA or designated by the ASPPB/National Register Designation Project (must have been enrolled in the program prior to July 1, 2008).
  2. Post doctoral experience began on or after December 6, 2010.

This second set of applications below is for applicants who are applying to sit for the examinations after completion of post doctoral experience.  Please choose the application based upon your doctoral program and when you began earning post doctoral experience.

Application to Request Approval to Sit for the Psychology Licensing Examinations/Application for License to Practice Psychology (AFTER THE COMPLETION OF POST DOCTORAL EXPERIENCE):

APPL #863-105 - For first-time applicants who meet the following criteria:

  1. Have received a doctoral degree from a program that is either accredited by the American Psychological Association (APA) or designated by the Association of State and Provincial Psychology Boards (ASPPB)/National Register Designation Project.
  2. Post doctoral experience began on or before December 5, 2010.

 APPL #863-106 - For first-time applicants who meet the following criteria AND were enrolled in the doctoral program prior to July 1, 2008:

  1. Have received a doctoral degree from a program that is NOT accredited by APA or designated by the ASPPB/National Register Designation Project (must have been enrolled in the program prior to July 1, 2008).
  2. Post doctoral experience began on or before December 5, 2010.

APPL #863-107 - For first-time applicants who meet the following criteria:

  1. Have received a doctoral degree from a program that is either accredited by APA or designated by the ASPPB/National Register Designation Project.
  2. Post doctoral experience began on or after December 6, 2010.

APPL #863-108 - For first-time applicants who meet the following criteria AND were enrolled in the doctoral program prior to July 1, 2008:

  1. Have received a doctoral degree from a program that is NOT accredited by APA or designated by the ASPPB/National Register Designation Project (must have been enrolled in the program prior to July 1, 2008).
  2. Post doctoral experience began on or after December 6, 2010

Application to Practice Psychology for Persons Licensed In Other States (APPL #863-109)
Application for Approval of Corporate or Fictitious Name (APPL #863-110)
Application Form for Sponsor/Provider Approval for National and Regional Associations (APPL #863-111)

Application to Reactivate a Psychology License

Verification of Licensure Request Form

Questions regarding this profession may be directed to the Office of the State Board: 

Board Administrator, State Board of Psychology, P.O. Box 2649, Harrisburg, PA  17105-2649, (717) 783-7155.  e-mail:  ST-PSYCHOLOGY@pa.gov

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License renewal cycle and fees:

Licenses expire 11/30 of every odd-numbered year.  The board mails renewal notices 2 to 3 months prior to the license expiration date.  Notices are mailed to the most recent address the licensee has reported to the Board.  The Postal Service does not forward licenses.

The renewal fee is $300.00.  Continuing Education Requirements – 30 contact hours of acceptable continuing education, including at least 3 contact hours in ethics, is required for renewal.

 

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State Board of Psychology
P.O. Box 2649, Harrisburg, PA 17105-2649
Phone - (717) 783-7155
Fax - (717) 787-7769
ST-PSYCHOLOGY@pa.gov


Modified Date: 05/14/2014 03:19 PM