Speech-Language Pathologist/Audiologist Name Change
You must mail, fax, or email following information:
- copy of your marriage certificate or court order (required),
- your MN SLP/Aud license number,
- current address, and
- telephone number.
If you email us, there must be a PDF scanned copy of the marriage certificate or court order attached to your email.
Processing time takes 5-15 business days. You will be notified in writing of the change as well as receiving a wallet card with your new name.
Minnesota Department of Health
Health Occupations Program
Attn: Gloria Rudolph
PO Box 64882
St. Paul, MN 55164-0882