Skip to main section
PsyD vs. PhD in psychology: which one should you pursue?

Your roadmap to becoming a clinical neuropsychologist

October 19, 2026 

By: The Capella University Editorial Team with Irene Abrego Nicolet, PhD, NCSP, LSSP, Vice President and Dean of the School of Social and Behavioral Sciences

Reading Time: 9 minutes

Job growth projections and salary figures are drawn from Lightcast data and reflect national trends. Actual outcomes vary based on factors such as experience, industry, location, skills and economic conditions, and are not representative of Capella University graduate results.

Imagine a career built around the brain, one where you help people recover from head traumas, rewire their brains to think clearly and rebuild their lives after injury or illness. That’s the work – partly science, partly clinical care, focused on how the brain shapes who we are.

A clinical neuropsychologist is a doctoral-level psychologist who evaluates how brain conditions and injuries affect behavior and cognition, and then uses that understanding to guide treatment. It’s a specialty that sits at the intersection of psychology and neuroscience, and it takes more training than most psychology careers: a doctoral degree, supervised practice and licensure.

Discover what the role actually involves day to day, the general education and training pathway, and how professionals typically move from curiosity to practice, whether you’re just starting to explore the field or dreaming of a career change.

Key takeaways

  • The role clarification: A clinical neuropsychologist assesses how brain conditions and injuries affect behavior and cognition, a scope of practice distinct from a neurologist’s medical treatment focus or a general psychologist’s broader mental health work.
  • Education path: A bachelor’s degree comes first, followed by a doctoral degree in clinical psychology (PhD or PsyD), plus supervised postdoctoral training in neuropsychology before licensure.
  • Licensure and certification: State licensure is required to practice, while board certification through the American Board of Clinical Neuropsychology (ABCN) is voluntary and often pursued for further specialization.

What does a clinical neuropsychologist do?

A clinical neuropsychologist studies how the brain shapes thinking, memory and behavior, and then applies that understanding directly with patients.

The everyday work usually centers on cognitive and neuropsychological tests: structured tasks and assessments that measure attention, memory, language, problem-solving and other cognitive functions. Results from that testing inform a diagnosis and a treatment plan, often developed alongside neurologists, psychiatrists or rehabilitation teams.

Clinical neuropsychologists commonly work with patients recovering from traumatic brain injury or stroke, living with dementia or epilepsy, or managing the cognitive effects of a chronic illness. Some also assess neurodevelopmental differences in children and adults.

Clinical neuropsychology isn’t the same as the closely related field of cognitive or research neuropsychology. Clinical neuropsychologists work directly with patients by testing, diagnosing and guiding treatment, while cognitive or research neuropsychologists typically work in a lab setting, studying brain-behavior relationships without a caseload of their own.

The clinical path typically requires an active license, since it involves direct patient contact, while a research-focused role may not require one if the work remains inside a lab or academic setting.

In a similar vein, the difference between the neuropsychologist, neurologist and psychologist may seem less obvious.

Neuropsychologist vs. neurologist vs. psychologist

As these three roles sound alike and work side by side, you can see how they differ in the table below:

Clinical neuropsychologist Neurologist Psychologist

Training path

Doctorate (PhD or PsyD) in clinical psychology, plus an internship and a postdoctoral fellowship in neuropsychology

Medical degree (Doctor of Medicine, MD, or Doctor of Osteopathic Medicine, DO) plus a neurology residency

Doctorate (PhD or PsyD) in psychology, or in some states, a master’s degree, depending on the specialty

Scope

Cognitive functions and behavioral assessment, testing and treatment planning for brain-behavior conditions        

Medical diagnosis and treatment of nervous system disorders

Broader mental and behavioral health assessment and therapy

Prescribing authority

No

Yes

No, in most states

Work setting

Hospitals, rehabilitation centers, private practice, academic and research settings

Hospitals and neurology clinics

Clinics, private practice, schools and hospitals

This extensive assessment training, without prescribing authority, is why the clinical neuropsychology path requires doctoral-level training.

How to become a clinical neuropsychologist

What qualifications do you need?

Becoming a clinical neuropsychologist takes four stages, starting with a bachelor’s degree, long before applying to a doctoral program. Three of these stages are required: the bachelor’s, the doctoral and the internship-and-fellowship stage. The pre-doctoral stage is an optional bridge worth taking seriously, since it strengthens an application for what’s otherwise a competitive next step:

  • Bachelor’s stage: Clinical neuropsychologists begin with a bachelor’s degree in psychology or a closely related field, building a foundation in research methods, statistics and core psychological concepts.
  • Master’s stage: Candidates earn a master’s degree, such as a master’s in clinical psychology, then strengthen their application through research experience or a lab assistantship before applying to doctoral programs.
  • Doctoral stage: A PhD or PsyD in clinical psychology follows, combining coursework, clinical practicum hours and original research. Neuropsychology is a specialization pursued within or after this degree, not a standalone major.
  • Postdoctoral internship and fellowship: Supervised clinical training continues after the doctorate, typically an accredited predoctoral internship followed by a postdoctoral fellowship focused specifically on neuropsychology. This is where the specialized assessment skills the role depends on are actually built.

Clinical neuropsychologist certification and licensure

To practice as a clinical neuropsychologist, you need a license from your state psychology board, which generally requires passing the Examination for Professional Practice in Psychology (EPPP), the national licensing exam administered through the Association of State and Provincial Psychology Boards (ASPPB).

Requirements vary by state, so it’s worth checking your specific state board’s criteria for supervised hours and continuing education before applying.

Beyond state licensure, many clinical neuropsychologists pursue board certification through ABCN, the clinical neuropsychology specialty board of the American Board of Professional Psychology (ABPP).

This voluntary credential involves a separate application, work-sample review and oral examination process, and it signals a documented level of specialized expertise beyond the licensing minimum.

In practice, board certification tends to be a later career decision: some pursue it soon after licensure to stand out early, others wait until they’ve built a caseload and want formal recognition of a specialty they’ve already established.

Career outlook and job settings

Clinical neuropsychologists work across a range of settings, and where you land often shapes your daily responsibilities more than the credential itself.

  • Hospitals and medical centers: support neurology, rehabilitation or oncology units, where cognitive assessment strengthens a broader care team
  • Rehabilitation centers and inpatient recovery facilities: rely on neuropsychological evaluation to track a patient’s cognitive recovery after a brain injury or stroke
  • Private practice: serves patients referred by physicians, attorneys or schools for a specific evaluation
  • Academic and research institutions: round out the landscape for practitioners who split their time between patient care, teaching and research

Keep in mind that these are examples only. Capella can’t guarantee licensure, certification or employment in any of these roles or settings. Outcomes vary based on factors like your prior experience, location, the job market at the time you graduate and requirements set by your state licensing board.

According to Lightcast 2024–2026 data, job postings for clinical neuropsychologists backed up steady, ongoing demand rather than a shrinking specialty. Employers posted an average of 2,410 openings per month across the U.S. between January 2024 and August 2026, with more than 6,000 companies posting at least once during that period.Total jobs in this category are projected to grow from 19,525 in 2024 to 20,817 by the end of 2026, an increase of about 6.6%, indicating steady growth of demand for clinical neuropsychologists.

Clinical neuropsychologist salary

Nationally, clinical neuropsychologists earn a median of $110,843, according to Lightcast’s 2025 data for the neuropsychologist category, Standard Occupational Classification (SOC) code 19-3039. What you actually earn will depend on where you practice, your work setting, licensure status and years of experience.

Is a clinical neuropsychology career a good fit for you?

Before committing years to this path, you may want to ask yourself a few honest questions:

  • Are you interested in both psychology and neuroscience, not just one or the other? This specialty sits between the two, and enjoying only the clinical side or only the science side can make the training feel like a mismatch.
  • Are you comfortable with a long training timeline? Requiring a doctorate, an internship and a postdoctoral fellowship, this one is among the longest paths in psychology. If you’re looking for the fastest route into clinical work, a different specialization within psychology may fit better.
  • Do you lean toward assessment over ongoing therapy? Clinical neuropsychologists spend much of their time testing, scoring and interpreting neuropsychological reports rather than running therapy sessions. If sustained talk therapy is what draws you to psychology, a clinical or counseling psychology path might be a closer fit.

None of these questions has a single right answer. Talking with a working clinical neuropsychologist, if you can arrange it, tends to clarify more than any list of questions.

If your answers point toward yes across the board, a doctorate in clinical psychology, with neuropsychology as your area of focus, is the logical next step. For a broader look at where else a psychology background can take you, explore other psychology degrees and roles.

Building your neuropsychology foundation

Becoming a clinical neuropsychologist starts with a good educational foundation, and that foundation is where Capella can help.

Capella’s online BS in Psychology gives you the undergraduate grounding that doctoral programs look for. Select specializations are available in FlexPath, a self-paced learning format that lets you move through on your own schedule without distraction from work and life.

From there, Capella’s online MS in Clinical Psychology, Applied Research specialization can serve as a bridge for students who want a structured research experience before a doctorate, while the online PsyD in Clinical Psychology offers doctoral-level training in clinical psychology through GuidedPath, which gives you 24/7 access to your coursework while following a set course schedule.

Courses across these programs are shaped by scholar-practitioner faculty who bring real clinical and research experience into what you study, so the coursework reflects how the field actually works today. Academic coaches and advising support are also available throughout to help you stay on track as you move between these stages.

Wherever you are on this path right now, earning a degree in clinical psychology is where it begins.

FAQs

A neuropsychologist specializes in how brain conditions and injuries affect behavior and cognition, using structured testing to evaluate memory, attention and problem-solving. A general psychologist focuses more broadly on mental and emotional health through therapy and assessment. Both require doctoral degrees, but neuropsychology adds specialized training in brain-behavior relationships, often supporting patients recovering from brain injury, stroke or dementia.

No. Clinical neuropsychologists hold a PhD or PsyD in clinical psychology, not a medical degree (MD/DO). They can’t prescribe medication, unlike neurologists or psychiatrists, but they’re doctoral-level experts in cognitive assessment. They use standardized memory, attention, processing speed and cognitive tests to assess how a brain condition affects a patient’s thinking and daily functioning.

It depends on where you are and how quickly you move through each stage, since programs and licensing boards vary. In general, the path includes a bachelor’s degree, a doctoral program in clinical psychology, an accredited predoctoral internship and a postdoctoral fellowship focused specifically on neuropsychology, where supervised assessment experience builds the specialized skills licensure requires.

State licensure, which requires passing the EPPP, the national licensing exam, is mandatory to practice. Board certification through ABCN is voluntary and involves a separate application, work-sample review and oral examination. Many practitioners pursue it after building a caseload to demonstrate specialized expertise and strengthen career opportunities within neuropsychology specifically.

You may also like

Portrayal of Capella education student with children wearing backpacks in the background.

How to become a school psychologist: the career path

October 14, 2026
PsyD vs. PhD in psychology: which one should you pursue?

PsyD vs. PhD in psychology: which one should you pursue?

September 29, 2026
Portrayal of Capella counseling and therapy student with an adolescent patient.

How to become a child psychologist: your questions answered

September 29, 2026

Contact Us

Our support team is currently unavailable. Please leave your message and we'll get back to you as soon as possible...
✓

Thank you !

We've received your message and will get back to you soon.